Robert Earl Cooper DMD

NPI 1053309435 - Dentist - 1223G0001X

NPI Details
NPI 1053309435
Gender Male
Enumeration Date 10/11/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
111 FAIRFAX AVE
LOUISVILLE KY, 40207-4905, US
Phone (502) 895-1171
Fax
Business Location
111 FAIRFAX AVE
LOUISVILLE KY, 40207-4905, US
Phone (502) 895-1171
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 5765
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According to our database, Dr. Robert Earl Cooper DMD NPI is 1053309435, taxonomy code is 1223G0001X and license number is 5765, license state is located at Kentucky. Robert Earl Cooper DMD physically located at 111 Fairfax Ave, Louisville KY, 40207-4905. NPI Number Robert Earl Cooper DMD has the Individual type.

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1053309435 NPI number is provided on an as is basis without warranty of any kind. 1053309435 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Earl Cooper DMD are for informational purposes only.