Cooper, Jennifer S

Cooper, Jennifer S is an sole proprietor health care provider with primary practice located at 1275 W Granada Blvd Suite 1, Ormond Beach FL 32174-8259. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Cooper, Jennifer S can be contacted via phone (386) 672-0955.

Contact Information

Primary practice address
1275 W Granada Blvd Suite 1 Ormond Beach FL 32174-8259
Phone: (386) 672-0955
Fax: (386) 672-5177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN 12068 Florida

Profile Details

NPI number 1396866125
LBN Legal business name Cooper, Jennifer S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers