Dr. Thomas Gene Cooper, DMD
Dentist, Endodontics in Goose Creek, SC. Individual provider (NPI-1).
NPI number1487940201
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1487940201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Gene Cooper
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2011
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 19374 | FL | Yes |
| 122300000X | Dentist | DN19374 | FL |
Practice location
110 Naval Nuclear Power Training Command CircleGoose Creek, SC 29445-3048
Phone 843-794-7944
Mailing address
110 Naval Nuclear Power Training Command CircleGoose Creek, SC 29445-3048
Phone 843-794-7944
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