George R. Cooper, D.D.S.

General Practice Dentistry · Fort Wayne, IN

Individual Active NPI

NPI number 1053423731

Practice location

2121 E. Dupont Road
Suite E
Fort Wayne, IN 46845
Phone
(260) 489-1508
Fax
(260) 489-9760

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NPI record

NPI
1053423731
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
April 19, 2022
Certified
April 19, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12008379 IN

About Dr. Cooper

George R. Cooper, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2121 E. Dupont Road, Suite E, Fort Wayne, IN 46845. The NPI number 1053423731 was assigned on August 31, 2006 and the record was last updated on April 19, 2022.

Dr. Cooper lists a license in the registry: #12008379 (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of George R. Cooper, D.D.S.?

The NPI number is 1053423731.

What is the phone number of Dr. Cooper?

The phone number listed for the practice location is (260) 489-1508.

Where is Dr. Cooper located?

2121 E. Dupont Road, Suite E, Fort Wayne, IN 46845.

What is the taxonomy code for Dr. Cooper?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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