Individual
DR. GARY ALAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
420 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3931
(865) 457-1496
(865) 457-4336
Mailing address
420 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3931
(865) 457-1496
(865) 457-4336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4785
TN
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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