IndividualActive
Kristopher Cooper, DMD, MD
NPI 1265814784 · Oral and Maxillofacial Surgery (Dentist) · Portland, ME
Provider details
- NPI number
- 1265814784
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD, MD
- Sex
- Male
- Sole proprietor
- No
- License
- DS040600 (PA)
Mailing address
1 College St
Portland, ME 04103-2617
Registry dates
- Enumerated
- 2015-06-20
- Last updated
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.