Organization
COONER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RAY COONER DMD (OWNER)
(205) 221-6218
Entity
Organization
Contact information
Practice address
1608 HIGHWAY 78 W, JASPER, AL 35501-3668
(205) 221-6218
Mailing address
1608 HIGHWAY 78 W, JASPER, AL 35501-3668
(205) 221-6218
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3662
AL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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