Organization
JORDAN COOPER DDS PLLC
Active
Other names
Community General and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MEREDITH (EXECUTIVE DIRECTOR OF OPERATIONS)
(501) 231-9928
Entity
Organization
Contact information
Practice address
1333 ARAPAHO AVE, SUITE B, SPRINGDALE, AR 72764-6936
(479) 419-5959
(479) 935-9248
Mailing address
PO BOX 217, LOWELL, AR 72745-0217
(479) 419-5959
(479) 935-9248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3565
AR
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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