P Praxis·MD
● Active Type 1 · Individual

DR. Charles Clayton Cooper JR., DMD

Dentist·Atlanta, GA· NPI 1912913021 · Enumerated 2006 · 19 years on NPI
Cooper is 1 of 283 dentist providers in Atlanta and 1 of 2660 in Georgia.
NPI age
19 years
Enumerated 2006-07-31
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1635 Friar Tuck Rd Ne
Atlanta, GA 303092611
📞 7706052077fax 4043038867
Mailing address
1635 Friar Tuck Rd Ne
Atlanta, GA 303092611
📞 7706052077fax 4043038867

Specialties

  • Dentist Primary
    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...
    GA license #010442 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new dentist providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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