Individual
DR. GARY WARD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2110 SOUTHGATE RD, SUITE 200, COLORADO SPRINGS, CO 80906-2685
(719) 635-5705
Mailing address
2110 SOUTHGATE RD, SUITE 200, COLORADO SPRINGS, CO 80906-2685
(719) 635-5705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1358
AK
122300000X
Dentist
9405
KY
122300000X
Dentist
D26831
CA
122300000X
Dentist
D9562
OR
122300000X
Dentist
DE60144920
WA
122300000X
Dentist
Primary
DEN 202161
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10250474
CO STATE BOARD OF PHARMACY, PDMP
CO
01
—
2186
ACS
CA
Enumeration date
11/04/2010
Last updated
03/07/2023
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