| George R. Cooper | |
|
2121 E Dupont Rd Ste E Fort Wayne IN 46825-1546 | |
| (260) 489-1508 | |
| (260) 338-2541 |
| Full Name | George R. Cooper |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2121 E Dupont Rd Ste E, Fort Wayne, Indiana |
| Authorized Official Name and Position | Kelly C Stone (OFFICE ASSOCIATE) |
| Authorized Official Contact | 2604891508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George R. Cooper 2121 E Dupont Rd Ste E Fort Wayne IN 46825-1546 Ph: (260) 489-1508 | George R. Cooper 2121 E Dupont Rd Ste E Fort Wayne IN 46825-1546 Ph: (260) 489-1508 |
| NPI Number | 1760123343 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760123343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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