Search › Indiana › 1223G0001X
Jason Cooper, DDS
NPI 1215261201 · on the registry since 2009
Practice
- Address
- 3506 Village Ct
Gary, IN 46408 - Phone
- (219) 985-3133
- Organisation at this address
- Gary Smiles Youth Dentistry, Llc
Gary Pediatric & Family DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana