JERRY E COOPER DDS, SC
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1265730287- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1407 N 8TH ST, SHEBOYGAN, WI, 530813400
- Phone
- (920) 452-1110
- Fax
- (920) 452-1996
Specialties & Taxonomies
Clinic/Center, Dental
Primary License: WI #6314-015