| Cooper Family Dentistry | |
|
78 N Cooper Rd Suite 107 Gilbert AZ 85233-5210 | |
| (480) 964-1000 | |
| (480) 964-3076 |
| Full Name | Cooper Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 78 N Cooper Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Girija Nadarajan (MANAGING MEMBER OWNER) |
| Authorized Official Contact | 4809641000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Family Dentistry 78 N Cooper Rd Suite 107 Gilbert AZ 85233-5210 Ph: (480) 964-1000 | Cooper Family Dentistry 78 N Cooper Rd Suite 107 Gilbert AZ 85233-5210 Ph: (480) 964-1000 |
| NPI Number | 1215159645 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215159645 | NPI | - | NPPES |
| 1886358 | Other | AZ | UCCI |
| 75643 | Other | AZ | DHA |
| 253383 | Other | AZ | DBP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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