Provider Demographics
NPI:1346390721
Name:COOPER, JAMES D II (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:COOPER
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3363 TATES CREEK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2238
Mailing Address - Country:US
Mailing Address - Phone:859-266-2570
Mailing Address - Fax:859-266-2570
Practice Address - Street 1:3363 TATES CREEK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2238
Practice Address - Country:US
Practice Address - Phone:859-266-2570
Practice Address - Fax:859-266-2570
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY80801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice