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Dr. David Fenton Cooley, DDS
General Practice Dentistry in Portage, Michigan
NPI 1952440356

David Fenton Cooley is a General Practice Dentistry based in Portage, MI and is specialized in General Practice. David Fenton Cooley practices in Portage, MI and has the professional credentials of DDS. The NPI Number for David Fenton Cooley is 1952440356 and holds a License No. 096850 (Michigan).

The current practice location address for David Fenton Cooley is 5108 Lovers Ln, Portage, MI and can be reached out via phone at 269-345-1021 and via fax at 269-345-0948.

Location: 5108 Lovers Ln, Portage, MI, 49002-1558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952440356
Provider Name
David Fenton Cooley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5108 Lovers Ln, Portage, MI, 49002-1558
Phone Number
269-345-1021
Fax Number
269-345-0948
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096850 01 MI MICHIGAN PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
5108 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1558
Phone Number
269-345-1021
Fax Number
269-345-0948
person
Provider Business Mailing Address Details
Address
5108 Lovers Ln
City
Portage
State
Michigan
Zip
49002-1558
Phone Number
269-345-1021
Fax Number
269-345-0948
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
096850 (Michigan)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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