| Devon Cooper, | |
|
5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 | |
| (859) 534-5460 | |
| Not Available |
| Full Name | Devon Cooper |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5495 N Bend Rd Ste 102, Burlington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376032557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10073 (Kentucky) | Primary |
| Entity Name | Children's Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Devon Cooper, 1560 3rd St Apt 903, San Francisco, CA 94158-2314 Ph: () - | Devon Cooper, 5495 N Bend Rd Ste 102, Burlington, KY 41005-9378 Ph: (859) 534-5460 |
Erinn Michelle Torbeck, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2608 Burlington Pike, Burlington, KY 41005 Phone: 859-586-7900 | |
Jack R Mercke, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1779 Patrick Dr, Burlington, KY 41005 Phone: 859-689-2730 Fax: 859-689-2731 | |
Ellen C Torbeck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2618 Burlington Pike, Burlington, KY 41005 Phone: 859-586-7900 Fax: 859-586-7931 | |
Dr. Gregory J Pohl, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1779 Patrick Dr, Burlington, KY 41005 Phone: 859-689-2730 Fax: 859-689-2731 | |
Dr. Deena A Rassenfoss, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5495 N Bend Rd, Suite 103, Burlington, KY 41005 Phone: 859-689-9225 Fax: 859-689-9201 | |
Dr. Eric M Soper, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5495 N Bend Rd, Suite 102, Burlington, KY 41005 Phone: 859-534-5640 Fax: 859-534-5922 |