NPI 1073309746

Jesse Cooper

Practitioner Dentist Johnstown, PA

Practice location

Address: 307 State St, Johnstown, PA 15905-2758
Phone: (814) 255-7181
Mailing address: 1377 Varner Ln, Johnstown, PA 15909-1329

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DS045122 (PA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1073309746
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2025
Record last updated: 20 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.