Cook Family Dental Llc | |
2355 Lee Road 430 Smiths Station AL 36877-4832 | |
(334) 297-5992 | |
(334) 297-5993 |
Full Name | Cook Family Dental Llc |
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Speciality | Dentist |
Location | 2355 Lee Road 430, Smiths Station, Alabama |
Authorized Official Name and Position | Andrew Joseph Cook (MANAGING MEMBER) |
Authorized Official Contact | 3342975992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cook Family Dental Llc 2355 Lee Road 430 Smiths Station AL 36877-4832 Ph: (334) 297-5992 | Cook Family Dental Llc 2355 Lee Road 430 Smiths Station AL 36877-4832 Ph: (334) 297-5992 |
NPI Number | 1558893800 |
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Provider Enumeration Date | 03/28/2017 |
Last Update Date | 03/29/2017 |
Identifier | Type | State | Issuer |
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1558893800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6012 (Alabama) | Primary |
Stonecreek Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 Lee Road 430, Smiths Station, AL 36877 Phone: 334-297-5992 |