Lawrence M Cooper, DDS

Individual provider Active NPI General Practice Dentistry · Abilene, KS

NPI 1922095553 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1922095553
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5349 (KS)
Practice address
1111 N Brady St
Suite C
Abilene, KS 67410-1804
Phone
(785) 263-2012
Fax
(785) 263-4438
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5349 KS Yes

Addresses

Primary practice location

1111 N Brady St
Suite C
Abilene, KS 67410-1804

Mailing address

1111 N Brady St
Suite C
Abilene, KS 67410-1804
Phone (785) 263-2012

Other providers in Abilene, KS

All providers in Abilene, KS · General Practice Dentistry in Kansas

Sources for this page

Verify at the official NPI Registry.