Individual
DR. DARRON ROSS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
620 N 13TH ST, ROGERS, AR 72756-3434
(479) 636-7100
(479) 621-6766
Mailing address
620 N 13TH ST, ROGERS, AR 72756-3434
(479) 636-7100
(479) 621-6766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3346
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W482
BLUECROSS/BLUESHIELD
AR
01
—
909826
UNITED CONCORDIA
AR
Enumeration date
08/03/2006
Last updated
07/08/2007
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