Cooper, Michael

Cooper, Michael is an individual health care provider with primary practice located at 101 Austin Blvd Ste 100 , Red Oak TX 75154-4661. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Cooper, Michael can be contacted via phone (972) 617-3508.

Contact Information

Primary practice address
101 Austin Blvd Ste 100 Red Oak TX 75154-4661
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 36171 Texas
Dental Providers / Dentist 122300000X 36171 Texas

Profile Details

NPI number 1497370332
LBN Legal business name Cooper, Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2020
Last updated Oct 24th, 2023 - about last year

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.

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