# E.W. COOPER D.D.S

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063718724
- **Authorized official:** ERNEST W COOPER (DENTIST)
- **Authorized official phone:** (423) 928-2621

## Contact information

- **Practice address:** 515 E WATAUGA AVE, JOHNSON CITY, TN 37601-4038
- **Practice address phone:** (423) 928-2621
- **Mailing address:** 515 EAST WATAUGA AVE, JOHNSON CITY, TN 37601-4038
- **Mailing address phone:** (423) 928-2621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | TN 3275 | TN | Yes |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 01/28/2011