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DR. DAVID JACK COOPER DDS
NPI 1841452596
Dentist in Lexington Pk, MD

Active since June 25, 2008Opted out of Medicare · through Jul 7, 2027
21534 GREAT MILLS RD, LEXINGTON PK, MD 20653(301) 862-3900(301) 862-3779 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Jack Cooper Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID JACK COOPER DDS (NPI 1841452596) is an individual dentist in Lexington Pk, Maryland, licensed in Maryland (6466) and active in the NPI registry since June 2008. He has opted out of Medicare through July 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841452596
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID JACK COOPERCredential: DDS
Location Address21534 GREAT MILLS RDLexington Pk, MD 20653
Mailing Address21534 Great Mills RdLexington Pk, MD 20653 · (301) 862-3900 · Fax (301) 862-3779
Phone(301) 862-3900
Fax(301) 862-3779
Sole ProprietorYes
Enumeration DateJune 25, 2008
✔ NPI 1841452596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 6466
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
21534 GREAT MILLS RD, Lexington Pk, MD 20653
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Jack Cooper Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 7, 2015 through July 7, 2027.

Opt-Out Effective DateJuly 7, 2015
Opt-Out In Effect ThroughJuly 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIDEWATER DENTAL AND ASSOC INC
Dentist (General Practice)
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-3900
TIDEWATER LLC
Dentist
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-3900
DR. JACOB NATHAN KOTT DDS
Dentist (General Practice)
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-3900
DR. TODD DANIEL COOPER D.D.S.
Dentist
21534 GREAT MILLS RD
LEXINGTON PK, MD 20653
St. Mary's County (301) 862-3900
DR. JOHN PHILIP SEISMAN JR. DDS
Dentist (General Practice)
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-3900
TIDEWATER LLC
Dentist
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-3900
TIDEWATER DENTAL SLEEP THERAPY LLC
Dentist
21534 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 862-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Cooper's NPI number?

The NPI number for David Cooper is 1841452596. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is David Cooper located?

David Cooper practices at 21534 Great Mills Rd, Lexington Pk, MD 20653. The listed phone number is (301) 862-3900.

What is David Cooper's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Cooper enrolled in Medicare?

No. David Cooper has opted out of Medicare through July 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Cooper accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list David Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Cooper was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.