JAMES M. COOPER D.D.S. PA NPI 1063630341

NPI Information

NPI: 1063630341
Provider Name: JAMES M. COOPER, D.D.S., PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
308 NORTH JAMES STREET
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 982-7547
Get Directions

JAMES M. COOPER, D.D.S., PA is a dental clinic center in Jacksonville, AR. JAMES M. COOPER, D.D.S., PA NPI is 1063630341. The provider is registered as an organization entity type.

The provider's business location address is:

308 NORTH JAMES STREET
JACKSONVILLE, AR
ZIP 72076-018
Phone: (501) 982-7547
Fax: (507) 985-8421

The provider's authorized official is Marilyn M. Vann .
The authorized official title is Office Manager and has the following contact phone number (501) 982-7547.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2008	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	638266	OTHER	ARKANSAS	UNITED CONCORDIA
2	5Y893	OTHER	ARKANSAS	ARKANSAS BCBS IND #
3	58159	OTHER	ARKANSAS	ARKANSAS BCBS IND #
4	5F573	OTHER	ARKANSAS	ARKANSAS BCBS GROUP #
5	1874975	OTHER	ARKANSAS	UNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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