| Kevin B. Cook, D.d.s., S.c. | |
|
1800 State Road 16 La Crosse WI 54601-3011 | |
| (608) 782-9667 | |
| Not Available |
| Full Name | Kevin B. Cook, D.d.s., S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1800 State Road 16, La Crosse, Wisconsin |
| Authorized Official Name and Position | Kevin Burton Cook (PRESIDENT AND TREASURER) |
| Authorized Official Contact | 6087829667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin B. Cook, D.d.s., S.c. 1800 State Road 16 La Crosse WI 54601-3011 Ph: (608) 782-9667 | Kevin B. Cook, D.d.s., S.c. 1800 State Road 16 La Crosse WI 54601-3011 Ph: (608) 782-9667 |
| NPI Number | 1396866026 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396866026 | NPI | - | NPPES |
| 33716100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3279 (Wisconsin) | Primary |
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