Keith D Cooper in Perryville - General Practice
Keith D Cooper - NPI 1447366885
Keith D Cooper is a General Practice in Perryville, Missouri. Keith D Cooper practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith D Cooper is 1447366885. The last update date is 2007-07-08.
Keith D Cooper's current location address is 12 S Jackson St, Perryville, Missouri. You can contact this provider via phone number 5735476520 and fax number 5735478272. The mailing address for Keith D Cooper is 12 S Jackson St, Perryville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith D Cooper |
|---|---|
| Address | 12 S Jackson St, Perryville, Missouri |
| Phone Number | 5735476520 |
| Fax Number | 5735478272 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1447366885 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12 S Jackson St |
|---|---|
| City | Perryville |
| State | Missouri (MO) |
| Post Code | 637752515 |
| Phone Number | 5735476520 |
| Fax Number | 5735478272 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE015824 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1582048 | MO | UNITED CONCORDIA |
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What is the unique 10-digit identification code assigned to Keith D Cooper by the Centers for Medicare & Medicaid Services?
The Keith D Cooper has been issued the NPI (National Provider Identifier) 1447366885, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Keith D Cooper located?
The Keith D Cooper is located at 12 S Jackson St, Perryville, MO 637752515.
What is the Keith D Cooper's area of specialization and corresponding taxonomy classification?
The Keith D Cooper's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When was the Keith D Cooper's 1447366885 issued?
The Keith D Cooper's 1447366885 was issued on 2006-08-21.
As of what date were the Keith D Cooper's details last updated?
The information pertaining to the Keith D Cooper, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC