Organization
NATHAN C COONEY DDS PC
Active
Other names
Cooney Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISE NICOLE VAN TASSELL (OFFICE MANAGER)
(801) 779-6037
Entity
Organization
Contact information
Practice address
1792 W 1700 S STE 203, SYRACUSE, UT 84075-9651
(801) 779-6037
(801) 820-2774
Mailing address
1792 W 1700 S STE 203, SYRACUSE, UT 84075-9651
(801) 779-6037
(801) 820-2774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8028926
UT
Other
Enumeration date
12/14/2017
Last updated
02/22/2023
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