Individual
TIMOTHY J COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1085 WILSHIRE BLVD, STEVENS POINT, WI 54481-2255
(715) 341-6116
(715) 341-8085
Mailing address
1085 WILSHIRE BLVD, STEVENS POINT, WI 54481-2255
(715) 341-6116
(715) 341-8085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5495
WI
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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