| E.w. Cooper D.d.s | |
|
515 E Watauga Ave Johnson City TN 37601-4038 | |
| (423) 928-2621 | |
| Not Available |
| Full Name | E.w. Cooper D.d.s |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 E Watauga Ave, Johnson City, Tennessee |
| Authorized Official Name and Position | Ernest W Cooper (DENTIST) |
| Authorized Official Contact | 4239282621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E.w. Cooper D.d.s 515 East Watauga Ave Johnson City TN 37601-4038 Ph: (423) 928-2621 | E.w. Cooper D.d.s 515 E Watauga Ave Johnson City TN 37601-4038 Ph: (423) 928-2621 |
| NPI Number | 1063718724 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063718724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | TN 3275 (Tennessee) | Primary |
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