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Organization
JAMES M. COOPER, D.D.S., PA
Active
Organization
JAMES M. COOPER, D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN M. VANN (OFFICE MANAGER)
(501) 982-7547
Entity
Organization
Contact information
Practice address
308 NORTH JAMES STREET, JACKSONVILLE, AR 72076-4018
(501) 982-7547
(507) 985-8421
Mailing address
308 NORTH JAMES STREET, JACKSONVILLE, AR 72076-4018
(501) 982-7547
(507) 985-8421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1874975
UNITED CONCORDIA
AR
01
—
58159
ARKANSAS BCBS IND #
AR
01
—
5F573
ARKANSAS BCBS GROUP #
AR
01
—
5Y893
ARKANSAS BCBS IND #
AR
01
—
638266
UNITED CONCORDIA
AR
Enumeration date
04/23/2007
Last updated
08/11/2011
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