# JOHN E. COOPER, D.D.S.

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

## Provider details

- **NPI number:** 1750759494
- **Authorized official:** JOHN E COOPER II D.D.S. (PRESIDENT)
- **Authorized official phone:** (623) 933-3684

## Contact information

- **Practice address:** 11126 W WISCONSIN AVE, SUITE 1, YOUNGTOWN, AZ 85363-1068
- **Practice address phone:** (623) 933-3684
- **Practice address fax:** (623) 933-1226
- **Mailing address:** 11126 W WISCONSIN AVE, SUITE 1, YOUNGTOWN, AZ 85363-1068
- **Mailing address phone:** (623) 933-3684
- **Mailing address fax:** (623) 933-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D2710 | AZ | Yes |

## Other

- **Enumeration date:** 09/11/2015
- **Last updated:** 09/11/2015
