Individual
CRAIG DOUGLAS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7265 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 577-2450
Mailing address
7265 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 577-2450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007098A
IN
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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