| Thomas R. Cooney, D.d.s. | |
|
215 N Buxton St Indianola IA 50125-2430 | |
| (515) 961-5351 | |
| (515) 961-5352 |
| Full Name | Thomas R. Cooney, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 215 N Buxton St, Indianola, Iowa |
| Authorized Official Name and Position | Thomas Ray Cooney (OWNER) |
| Authorized Official Contact | 5159615351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R. Cooney, D.d.s. 215 N Buxton St Indianola IA 50125-2430 Ph: (515) 961-5351 | Thomas R. Cooney, D.d.s. 215 N Buxton St Indianola IA 50125-2430 Ph: (515) 961-5351 |
| NPI Number | 1104093566 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104093566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7310 (Iowa) | Primary |
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