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NPI 1801005475 · live from the CMS NPI Registry

Jeffrey Michael Cooper, D.M.D.

Dentist, General Practice in Rehoboth Beach, DE. National Provider Identifier 1801005475, active.

NPI record

NPI1801005475 Type 1 · individual
StatusActive
Primary specialtyDentist, General Practice 1223G0001X
Practice location18947 John J Williams Hwy, Ste 301, Rehoboth Beach, DE 19971
Practice phone302-645-7200
EnumeratedMay 21, 2007
Last updatedJune 23, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, General Practice primary1223G0001XG1-0001196 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.