Dr. Bruce E Cooper, DDS
Dr. Bruce E Cooper is a General Practice Dentistry provider (Dentist) practicing in Olympia, WA, registered in the NPPES registry with NPI 1104820901 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104820901 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Bruce E Cooper |
| Credential | DDS |
| Sex | Male |
| Practice address | 1105 4TH AVE E, STE A, Olympia, WA, 98506 |
| Phone | 3603578075 |
| Fax | 3603573842 |
| Enumeration date | 2005-06-09 |
| Last updated in NPPES | 2015-06-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DE00006116 | WA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5005459 | Medicaid | WA | — |
Copy-ready billing details
Provider: Bruce Cooper, DDS NPI: 1104820901 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1105 4TH AVE E, STE A, Olympia, WA, 98506
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619971413 | Paul Isaacson | Individual | Dentist | Olympia, WA |
| 1760402648 | John Walker | Individual | Dentist | Olympia, WA |
| 1912167248 | Joseph Moss DDS & Tyler Tebay Dmd Ps | Organization | General Practice Dentistry | Olympia, WA |
| 1912130055 | Joseph Moss | Individual | General Practice Dentistry | Olympia, WA |
| 1396074274 | John C Walker DDS, Inc, Ps | Organization | General Practice Dentistry | Olympia, WA |
Verify this record
Cross-check NPI 1104820901 against the authoritative CMS record: view Dr. Bruce E Cooper on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1104820901 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-26.