DR. Keith D Cooper, DDS
NPI #1447366885 in Perryville, Missouri
Provider Information
- NPI Number
- 1447366885
- Entity Type
- Individual
- Name
- DR. Keith D Cooper, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12 S JACKSON ST
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-2515
- Phone
- (573) 547-6520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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