Individual
DR. JUSTIN MICHAEL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5008 S U ST STE 101A, FORT SMITH, AR 72903-3613
(479) 431-2527
Mailing address
1400 MEADOW BRIDGE DR, GREENWOOD, AR 72936-3059
(479) 996-6736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4436
AR
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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