| Henry W. Cook, Dmd, Pa | |
|
142 Gateway Dr Brandon MS 39042-3085 | |
| (601) 824-1950 | |
| (601) 824-1953 |
| Full Name | Henry W. Cook, Dmd, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 142 Gateway Dr, Brandon, Mississippi |
| Authorized Official Name and Position | Henry Cook (OWNER) |
| Authorized Official Contact | 6018241950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry W. Cook, Dmd, Pa 142 Gateway Dr Brandon MS 39042-3085 Ph: (601) 824-1950 | Henry W. Cook, Dmd, Pa 142 Gateway Dr Brandon MS 39042-3085 Ph: (601) 824-1950 |
| NPI Number | 1669186722 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669186722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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