Jerry E Cooper Dds, Sc | |
1407 N 8th St Sheboygan WI 53081-3400 | |
(920) 452-1110 | |
(920) 452-1996 |
Full Name | Jerry E Cooper Dds, Sc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1407 N 8th St, Sheboygan, Wisconsin |
Authorized Official Name and Position | Jerry Edward Cooper (PRESIDENT) |
Authorized Official Contact | 9204521110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jerry E Cooper Dds, Sc 1407 N 8th St Sheboygan WI 53081-3400 Ph: (920) 452-1110 | Jerry E Cooper Dds, Sc 1407 N 8th St Sheboygan WI 53081-3400 Ph: (920) 452-1110 |
NPI Number | 1265730287 |
---|---|
Provider Enumeration Date | 03/01/2011 |
Last Update Date | 03/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265730287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6314-015 (Wisconsin) | Primary |
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› Verified 8 days ago
David Blong S Lee Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Michigan Ave, Sheboygan, WI 53081 Phone: 920-459-9010 Fax: 920-459-9272 | |
Jeffrey Jh Holsen, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2905 S 12th St, Sheboygan, WI 53081 Phone: 920-459-8467 Fax: 920-459-9886 | |
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