| Mark Cooper, Dds, Pc | |
|
11 West Ave Route 94 Chester NY 10918-1501 | |
| (845) 469-7040 | |
| Not Available |
| Full Name | Mark Cooper, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 West Ave, Chester, New York |
| Authorized Official Name and Position | Mark Cooper (PRESIDENT) |
| Authorized Official Contact | 8454697040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Cooper, Dds, Pc 11 West Ave Route 94 Chester NY 10918-1501 Ph: (845) 469-7040 | Mark Cooper, Dds, Pc 11 West Ave Route 94 Chester NY 10918-1501 Ph: (845) 469-7040 |
| NPI Number | 1659414456 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659414456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 391931 (New York) | Primary |
Brookside Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Brookside Ave, Chester, NY 10918 Phone: 845-469-4444 | |
Chester Dental Assoc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Moffatt Ln, Chester, NY 10918 Phone: 845-469-2833 Fax: 845-469-5070 |