| Cook Dental Care Pc | |
|
1190 Martin Luther King Jr Blvd Columbus GA 31906-3665 | |
| (706) 322-3218 | |
| (706) 322-3219 |
| Full Name | Cook Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1190 Martin Luther King Jr Blvd, Columbus, Georgia |
| Authorized Official Name and Position | Cathy Cook (CEO/DENTIST) |
| Authorized Official Contact | 7063223218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Dental Care Pc 1190 Martin Luther King Jr Blvd Columbus GA 31906-3665 Ph: (706) 322-3218 | Cook Dental Care Pc 1190 Martin Luther King Jr Blvd Columbus GA 31906-3665 Ph: (706) 322-3218 |
| NPI Number | 1528235215 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528235215 | NPI | - | NPPES |
| 102653460A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011954 (Georgia) | Primary |
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