JORDAN TODD COOPER DDS PA NPI 1356620702

NPI Information

NPI: 1356620702
Provider Name: JORDAN TODD COOPER DDS PA

Doing Business As: COOPER FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
308 N JAMES ST
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 982-7547
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JORDAN TODD COOPER DDS PA is a dental clinic center in Jacksonville, AR. JORDAN TODD COOPER DDS PA NPI is 1356620702. The provider is registered as an organization entity type.
The provider Is Doing Business As Cooper Family Dentistry.

The provider's business location address is:

308 N JAMES ST
JACKSONVILLE, AR
ZIP 72076-018
Phone: (501) 982-7547
Fax: (501) 985-8421

The provider's authorized official is Jordan Todd Cooper .
The authorized official title is President and has the following contact phone number (501) 982-7547.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 8/16/2011.

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	3565	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	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

NPI Synchronization or Removal

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