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NPI Code Detail

MEDICARE: SUSAN A. COPE, D.D.S.,P.A.

MEDICARE: SUSAN A. COPE, D.D.S.,P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1265507354
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUSAN A. COPE, D.D.S.,P.A.
Provider Business Mailing Address
First Line : 9003 ROE AVE
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66207-2202
Country : US
Telephone Number : 913-385-9003
Fax Number :
Provider Business Practice Location Address
First Line : 9003 ROE AVE
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66207-2202
Country : US
Telephone Number : 913-385-9003
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : JANICE DEAN
Credential :
Telephone Number : 913-385-9003
Provider Enumeration Date : 11/22/2006
Last Update Date : 08/22/2020

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