Individual
DR. LOGAN WHITNEY COONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1608 HIGHWAY 78 W, JASPER, AL 35501-3668
(205) 221-6218
(205) 221-0998
Mailing address
1608 HIGHWAY 78 W, JASPER, AL 35501-3668
(205) 221-6218
(205) 221-0998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5872
AL
Other
Enumeration date
07/23/2011
Last updated
07/23/2011
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