| Preston Cooper, Dds | |
|
1215 Military Rd Suite 5 Benton AR 72015 | |
| (501) 315-5574 | |
| (501) 315-5579 |
| Full Name | Preston Cooper, Dds |
|---|---|
| Speciality | Dentist |
| Location | 1215 Military Rd, Benton, Arkansas |
| Authorized Official Name and Position | Preston Cooper (OWNER) |
| Authorized Official Contact | 5013155574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Cooper, Dds 1215 Military Rd Suite 5 Benton AR 72015 Ph: (501) 315-5574 | Preston Cooper, Dds 1215 Military Rd Suite 5 Benton AR 72015 Ph: (501) 315-5574 |
| NPI Number | 1881816403 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881816403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2248 (Arkansas) | Primary |
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