NPIRadar

Jeril Ransom Cooper, DMD Valid NPI

Individual provider · General Practice Dentistry · Trenton, GA

NPI
1851333710
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
8755 (GA)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-06-12
Last updated
2007-07-18
Practice location
10621 Highway 11
Trenton, GA 30752-3026
(706) 657-7561

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