Provider Demographics
NPI:1033659321
Name:T. BRIAN COPE D.D.S. P.C.
Entity Type:Organization
Organization Name:T. BRIAN COPE D.D.S. P.C.
Other - Org Name:COPE FAMILY DENTAL AT ERIE COMMONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:COPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-587-5255
Mailing Address - Street 1:71 ERIE PARKWAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516
Mailing Address - Country:US
Mailing Address - Phone:303-828-0883
Mailing Address - Fax:
Practice Address - Street 1:71 ERIE PARKWAY
Practice Address - Street 2:SUITE 101
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516
Practice Address - Country:US
Practice Address - Phone:303-828-0883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COD95851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty