E.w. Cooper D.d.s

NPI 1063718724 - Dentist - 1223G0001X

NPI Details
NPI 1063718724
Enumeration Date 01/28/2011
Last Updated 01/28/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ERNEST W ERNEST
Position DENTIST
Phone (423) 928-2621
Fax
Practice Location
515 E WATAUGA AVE
JOHNSON CITY TN, 37601-4038, US
Phone (423) 928-2621
Fax
Business Location
515 EAST WATAUGA AVE
JOHNSON CITY TN, 37601-4038, US
Phone (423) 928-2621
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number TN 3275
Remove 1063718724 NPI Number
 

According to our database, E.w. Cooper D.d.s NPI is 1063718724, taxonomy code is 1223G0001X and license number is TN 3275, license state is located at Tennessee. E.w. Cooper D.d.s physically located at 515 E Watauga Ave, Johnson City TN, 37601-4038. NPI Number 1033115704 has the healthcare provider type.

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1063718724 NPI number is provided on an as is basis without warranty of any kind. 1063718724 is maintained by the National Plan & Provider Enumeration System. The contents of E.w. Cooper D.d.s are for informational purposes only.