Jordan Todd Cooper DDS PA

NPI #1356620702 in Jacksonville, Arkansas

Provider Information

NPI Number: 1356620702
Entity Type: Organization
Organization Name: Jordan Todd Cooper DDS PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 16, 2011
Last Updated: Aug 16, 2011

Practice Location

Address: 308 N JAMES ST
City: Jacksonville
State: Arkansas
ZIP Code: 72076-4018
Phone: (501) 982-7547

Authorized Official

Name: DR. JORDAN TODD COOPER, DDS
Title: PRESIDENT
Phone: (501) 982-7547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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