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Organization

JEFFREY R COPELAND DDS PC

Active
Other names
Hawthorn Woods Family Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization

Contact information

Practice address
60 LANDOVER PKWY, HAWTHORN WOODS, IL 60047-7513
(847) 550-5000
Mailing address
60 LANDOVER PKWY, HAWTHORN WOODS, IL 60047-7513
(847) 550-5000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/15/2021
Last updated
12/15/2021
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