E.w. Cooper D.d.s
NPI #1063718724 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1063718724
- Entity Type
- Organization
- Organization Name
- E.w. Cooper D.d.s
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 28, 2011
- Last Updated
- Jan 28, 2011
Practice Location
- Address
- 515 E WATAUGA AVE
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-4038
- Phone
- (423) 928-2621
Authorized Official
- Name
- ERNEST W COOPER
- Title
- DENTIST
- Phone
- (423) 928-2621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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