Cooper, Ronald D

Cooper, Ronald D is an sole proprietor health care provider with primary practice located at 101 Western Hills Trl , Granbury TX 76049-6701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cooper, Ronald D can be contacted via phone (817) 573-2425.

Contact Information

Primary practice address
101 Western Hills Trl Granbury TX 76049-6701
Fax: (817) 573-6092
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12179 Texas

Profile Details

NPI number 1659429074
LBN Legal business name Cooper, Ronald D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659429074 NPPES
Texas Other TX 12179 TX DENTAL LICENSE NUMBER

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