Johnathan Todd Cook Dds | |
419 Center Street Oregon City OR 97045-2211 | |
(503) 656-8287 | |
(503) 656-8375 |
Full Name | Johnathan Todd Cook Dds |
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Speciality | Dentist - General Practice |
Location | 419 Center Street, Oregon City, Oregon |
Authorized Official Name and Position | Jonathan Todd Cook (OWNER DENTIST) |
Authorized Official Contact | 5036568287 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Johnathan Todd Cook Dds 419 Center Street Oregon City OR 97045-2211 Ph: (503) 656-8287 | Johnathan Todd Cook Dds 419 Center Street Oregon City OR 97045-2211 Ph: (503) 656-8287 |
NPI Number | 1275610495 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275610495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D7453 (Oregon) | Primary |
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