SearchIdaho183500000X

Bryan Cooper

NPI 1417332008 · on the registry since 2015

Practice

Address
700 W Ironwood Dr Ste 159
Coeur D Alene, ID 83814
Phone
(208) 625-3190
Organisation at this address
Element Dental Pllc
Ideal Family Dental
Kootenai Health, Inc.
Kootenai Health, Inc.
Interlake Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
191

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-01

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 Idaho