Devon Cooper, | |
5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 | |
(859) 534-5460 | |
Not Available |
Full Name | Devon Cooper |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 5495 N Bend Rd Ste 102, Burlington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376032557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 10073 (Kentucky) | Primary |
Entity Name | Children's Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
Mailing Address | Practice Location Address |
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Devon Cooper, 1560 3rd St Apt 903, San Francisco, CA 94158-2314 Ph: () - | Devon Cooper, 5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 Ph: (859) 534-5460 |
Erinn Michelle Torbeck, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2608 Burlington Pike, Burlington, KY 41005 Phone: 859-586-7900 | |
Jack R Mercke, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1779 Patrick Dr, Burlington, KY 41005 Phone: 859-689-2730 Fax: 859-689-2731 | |
Ellen C Torbeck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2618 Burlington Pike, Burlington, KY 41005 Phone: 859-586-7900 Fax: 859-586-7931 | |
Dr. Gregory J Pohl, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1779 Patrick Dr, Burlington, KY 41005 Phone: 859-689-2730 Fax: 859-689-2731 | |
Dr. Deena A Rassenfoss, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5495 N Bend Rd, Suite 103, Burlington, KY 41005 Phone: 859-689-9225 Fax: 859-689-9201 | |
Dr. Eric M Soper, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5495 N Bend Rd, Suite 102, Burlington, KY 41005 Phone: 859-534-5640 Fax: 859-534-5922 |