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Individual
DR. JAMES ANDREW KOPFENSTEINER
Active
Individual
DR. JAMES ANDREW KOPFENSTEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107455
BLUE CROSS BLUE SHIELD #
MO
01
—
605749
COMPBENEFITS FACILITY ID
IL
01
—
723952
UNITED CONCORDIA #
PA
Enumeration date
09/28/2006
Last updated
07/08/2007
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