Individual provider · Type 1 NPI

Roger Willson Cooper, DDS, M.A.

Periodontics · Tucson, AZ

NPI number 1114078136 Active

Practice location

1625 W Ina Rd, Suite # 103
Tucson, AZ 85704-1900

Call (520) 531-8605 Map

Fax (520) 575-0618

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD6003 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1114078136

Roger Willson Cooper, DDS, M.A.'s National Provider Identifier is 1114078136, issued on Jan 16, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tucson, AZ. The record was last updated on Jul 8, 2007.