Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott J Koopman, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417419409

Scott J Koopman, DDS is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3220 Chili Ave Ste 3
Rochester, NY 14624-5482
Phone: (585) 889-2559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 061380 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417419409
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

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