Individual
DR. ADAM LEE COPPENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
Mailing address
1500 E TALL TREE RD APT 34201, DERBY, KS 67037-6034
(316) 308-5749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61693
KS
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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