Individual
DR. NOBLE P COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1415 PINE ST, COLUMBIA, SC 29204-1847
(803) 254-7791
(803) 254-8560
Mailing address
1415 PINE ST, COLUMBIA, SC 29204-1847
(803) 254-7791
(803) 254-8560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
687385
UNITED CONCORDIA
SC
05
—
Z30388
—
SC
Enumeration date
01/25/2007
Last updated
07/08/2007
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