| Jed M. Koops, Dmd, Llc | |
|
3690 Orange Pl Ste 515 Beachwood OH 44122-4466 | |
| (216) 464-2448 | |
| Not Available |
| Full Name | Jed M. Koops, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3690 Orange Pl Ste 515, Beachwood, Ohio |
| Authorized Official Name and Position | Jed Michael Koops (PRESIDENT) |
| Authorized Official Contact | 4409417824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jed M. Koops, Dmd, Llc 3028 Woodbury Rd Shaker Heights OH 44120-2441 Ph: (440) 941-7824 | Jed M. Koops, Dmd, Llc 3690 Orange Pl Ste 515 Beachwood OH 44122-4466 Ph: (216) 464-2448 |
| NPI Number | 1558925487 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558925487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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