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

Cooper Creek Dental, LLC

Organization Dentist · NPI 1679978894

Cooper Creek Dental, LLC provides Dentist services in University Park, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8460 Cooper Creek Blvd Ste 103
University Park, FL 34201-2019 Not confirmed with CMS for 11 years — call before visiting
Phone: (941) 366-1010
Fax: (941) 355-5558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16321 (FL)
Dentist Taxonomy 122300000X · Licence DN16999 (FL)

Record details

NPI number1679978894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly McAvoy — President · (941) 366-1010
NPI enumeratedOctober 30, 2014
Last updated in NPPESOctober 30, 2014
Mailing address8460 Cooper Creek Blvd, Suite 103, University Park, FL 34201-2019

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