NPI 1134865272
Jillian Cooper, RDH
Practice location
- Address
- 801 S Lee St STE a, Fort Gibson, OK 74434-8710
- Phone
- (918) 478-4433
- Mailing address
- 113 Norh 6 Mile Lane, Fort Gibson, OK 74434
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1134865272
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 May 2022
- Record last updated
- 11 May 2022
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.