| Dr. Terence A.cook, D.d.s. M.a.g.d.p.c. | |
|
113 North Ave Pittsburg TX 75686-1319 | |
| (903) 856-3343 | |
| (903) 856-3343 |
| Full Name | Dr. Terence A.cook, D.d.s. M.a.g.d.p.c. |
|---|---|
| Speciality | Dentist |
| Location | 113 North Ave, Pittsburg, Texas |
| Authorized Official Name and Position | Terence Alysious Cook (OWNERPRESIDENT) |
| Authorized Official Contact | 9038563343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Terence A.cook, D.d.s. M.a.g.d.p.c. 113 North Ave Pittsburg TX 75686-1319 Ph: (903) 856-3343 | Dr. Terence A.cook, D.d.s. M.a.g.d.p.c. 113 North Ave Pittsburg TX 75686-1319 Ph: (903) 856-3343 |
| NPI Number | 1285908251 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285908251 | NPI | - | NPPES |
| 009386601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9996 (Texas) | Primary |
Camp County Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 M L King Jr Ave, Pittsburg, TX 75686 Phone: 903-856-3343 |