Kelly Cooper, D.D.S.

General Practice Dentistry · Jbsa Randolph, TX

Individual Active NPI

NPI number 1386191252

Practice location

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800
Phone
(210) 652-3301

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NPI record

NPI
1386191252
Entity type
Individual (Type 1)
Enumeration date
September 7, 2016
Last updated
September 24, 2020
Certified
September 24, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 32365 TX

Other practice locations (2)

  • 151 Bodin Cir, Travis AFB, CA 94535-1801 · (707) 423-7008
  • 224 W D.L. Ingram Ave, Bldg 1408, Cannon AFB, NM 88103 · (575) 784-4041

About Dr. Cooper

Kelly 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 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800. The NPI number 1386191252 was assigned on September 7, 2016 and the record was last updated on September 24, 2020.

Dr. Cooper lists a license in the registry: #32365 (TX) 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 Kelly Cooper, D.D.S.?

The NPI number is 1386191252.

What is the phone number of Dr. Cooper?

The phone number listed for the practice location is (210) 652-3301.

Where is Dr. Cooper located?

221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800.

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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