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NPI Code Detail

MEDICARE: DR. DONALD KYLE COPLEY D.M.D

MEDICARE: DR. DONALD KYLE COPLEY D.M.D
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
1122300000XDentist9008NC

General Provider Information

NPI Number : 1417260373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD KYLE COPLEY D.M.D
Provider Business Mailing Address
First Line : 89 NORTH MITCHELL AVE
Second Line : PO BOX 74
City : BAKERSVILLE
State : NC
Zip : 28705-6502
Country : US
Telephone Number : 828-688-8385
Fax Number :
Provider Business Practice Location Address
First Line : 89 NORTH MITCHELL AVE
Second Line :
City : BAKERSVILLE
State : NC
Zip : 28705-6502
Country : US
Telephone Number : 828-688-8385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2010
Last Update Date : 12/06/2012

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