MEDICARE: JAMES C COPE, DDS, A PROFESSIONAL CORPORATION

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
1	1223G0001X	General Practice Dentistry	52922	CA
2	1223G0001X	General Practice Dentistry	48916	CA
3	1223G0001X	General Practice Dentistry	34601	CA

General Provider Information

NPI Number	:	1922131499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES C COPE, DDS, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1220 SUNCAST LN
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 SUNCAST LN
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9632
Country	:	US
Telephone Number	:	916-933-9080
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. JAMES C COPE
Credential	:	D.D.S.
Telephone Number	:	916-933-9080

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/22/2020

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