| Kevin P Cooper Dds Pc | |
|
202 Brady Street Sault Sainte Marie MI 49783 | |
| (906) 632-0074 | |
| (906) 632-0081 |
| Full Name | Kevin P Cooper Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 Brady Street, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Kevin P Cooper (OWNER) |
| Authorized Official Contact | 9066320074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P Cooper Dds Pc 202 Brady Street Sault Sainte Marie MI 49783 Ph: (906) 632-0074 | Kevin P Cooper Dds Pc 202 Brady Street Sault Sainte Marie MI 49783 Ph: (906) 632-0074 |
| NPI Number | 1215541305 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 09/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215541305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Sault Tribe Of Chippewa Indians Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
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