Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jesse Cooper

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073309746

Mr. Jesse Cooper is a Student in an Organized Health Care Education/Training Program in Johnstown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

307 State St
Johnstown, PA 15905-2758
Phone: (814) 255-7181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS045122 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073309746
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address1377 Varner Ln, Johnstown, PA 15909-1329

Other providers in Johnstown