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Contact Information

TIMOTHY D COOPER, DDS
825 E MAIN ST
MANCHESTER, IA52057
 Phone: 563-927-5415
 Fax: 563-927-3542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TIMOTHY D COOPER · (Male)

NPI Number 1417094749
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/30/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 6556
  • IA Medicaid 0500074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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