Individual
DR. RUSSELL B. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
540 JEFFERSON ST SW, CAMDEN, AR 71701-3952
(870) 836-8944
(870) 836-8984
Mailing address
540 JEFFERSON ST SW, CAMDEN, AR 71701-3952
(870) 836-8944
(870) 836-8984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2571
AR
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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