Individual
DR. THOMAS RAY COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
215 N BUXTON ST, INDIANOLA, IA 50125-2430
(515) 961-5351
(515) 961-5352
Mailing address
215 N BUXTON ST, INDIANOLA, IA 50125-2430
(515) 961-5351
(515) 961-5352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07310
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050054
—
IA
Enumeration date
01/27/2006
Last updated
07/09/2007
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