Individual
DR. CODY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027838
OH
1223G0001X
General Practice Dentistry
12476
TN
Other
Enumeration date
06/10/2024
Last updated
05/30/2025
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