Individual
ETHAN H COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
498 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3708
(860) 648-2848
(860) 648-2893
Mailing address
498 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3708
(860) 648-2848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13348
CT
Other
Enumeration date
05/10/2021
Last updated
06/14/2023
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