Individual
DR. JOHN MITCHELL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 228-9071
Mailing address
1813 SW FAIRLAWN RD, TOPEKA, KS 66604-3646
(785) 272-9443
(785) 228-9071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5956
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376658815
ORGANIZATION
KS
Enumeration date
01/23/2014
Last updated
03/26/2015
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