| Jack D Cooper | |
|
705 N 17th Ave Ashland NE 68003-1209 | |
| (402) 944-3305 | |
| (402) 944-7611 |
| Full Name | Jack D Cooper |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 705 N 17th Ave, Ashland, Nebraska |
| Authorized Official Name and Position | Kayla C Kobs (OFFICE MANAGER) |
| Authorized Official Contact | 4029443305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D Cooper 705 N 17th Ave Ashland NE 68003-1209 Ph: (402) 944-3305 | Jack D Cooper 705 N 17th Ave Ashland NE 68003-1209 Ph: (402) 944-3305 |
| NPI Number | 1891240495 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891240495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4005 (Nebraska) | Primary |
Bundy Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 N 24th St, Ashland, NE 68003 Phone: 402-521-3560 Fax: 402-671-0518 |