National Provider Identifier
Scott J Koopman, DDS
Scott J Koopman, DDS is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 889-2559.
Profile Overview
- NPI
- 1417419409
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 01, 2019
- Last Updated
- October 06, 2020
Practice Location
- 3220 Chili Ave Ste 3
- Rochester, NY 14624-5482
Phone: (585) 889-2559
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1417419409
- Entity Type
- Individual
- Last Name
- Koopman
- First Name
- Scott
- Middle Name
- J
- Credential
- DDS
- Mailing Street Address
- 3220 Chili Ave Ste 3
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-5482
- Mailing Country
- US
- Mailing Phone
- (585) 889-2559
- Practice Street Address
- 3220 Chili Ave Ste 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-5482
- Practice Country
- US
- Practice Phone
- (585) 889-2559
- Enumeration Date
- April 01, 2019
- Last Updated
- October 06, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)