Individual
DR. ANDREW WAYNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
603 LANCASTER ST, STANFORD, KY 40484-1248
(606) 365-7803
Mailing address
1414 KY HIGHWAY 590, STANFORD, KY 40484-8279
(606) 669-7761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10919
KY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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