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General NPI Number Information
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NPI Number | 1740445964
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Entity Type | Organization
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Legal Business Name | BENJAMIN D COPE, DDS, PC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 320 S 400 E
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City | ENTERPRISE
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State | UT
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Zip | 84725-0820
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Country | US
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Telephone | 435-878-2775
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Fax | 866-744-2538
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Provider Business Mailing Address
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Address Line | PO BOX 820
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City | ENTERPRISE
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State | UT
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Zip | 84725-0820
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Country | US
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Telephone | 435-878-2778
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | DR. BENJAMIN D COPE
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Credential | DDS
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Telephone | 435-878-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 68963569922
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License Number State | UT
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