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Contact Information

SIERRA D COOPER, DMD
22 RACEWAY RD
JERICHO, VT05465-2100
 Phone: 802-899-3973
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SIERRA D COOPER · (Female)

NPI # 1912647199
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/29/2022
Last updated 07/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 016.0134207
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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