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Cooper Creek Dental, LLC

Dentist in University Park, FL · enumerated 2014 · authorized official Shelly Mcavoy, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679978894

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Registry record

Entity type Organization (Type 2)
Legal business name Cooper Creek Dental, LLC
Practice address 8460 Cooper Creek Blvd, Suite 103, University Park, FL, 34201
Phone (941) 366-1010
Fax (941) 355-5558
Enumeration date Oct 30, 2014
Last updated in NPPES Oct 30, 2014

Taxonomy & classification

122300000X Dentist Dental Providers · License DN16321 (FL) Primary
122300000X Dentist Dental Providers · License DN16999 (FL) Secondary

Authorized official

Name Shelly Mcavoy
Title President
Phone (941) 366-1010

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.

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Frequently asked questions

What is the NPI number for Cooper Creek Dental, LLC?
The NPI for Cooper Creek Dental, LLC is 1679978894, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Cooper Creek Dental, LLC?
NPPES lists Shelly Mcavoy (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-30.