DR. JACK COOPER, DDS
Dentist - General Practice
Active
Individual
NPI: 1174617450
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 4005 (NE) |
Frequently Asked Questions
NPI 1174617450 is the National Provider Identifier for DR. JACK COOPER, DDS, a Dentist - General Practice provider located in Ashland, NE. This NPI was enumerated on October 3, 2006.
DR. JACK COOPER, DDS practices at 705 N 17TH AVE, Ashland, NE 68003.
Quick Facts
- NPI
- 1174617450
- Type
- Individual
- Enumerated
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
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