Jerry M Cook is a Endodontics in Fargo, North Dakota. Jerry M Cook practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jerry M Cook is 1114074960. The last update date is 2012-07-10.
Jerry M Cook's current location address is 4710 Amber Valley Pkwy S, Ste A, Fargo, North Dakota. You can contact this provider via phone number 7012321956 and fax number 7012322226. The mailing address for Jerry M Cook is 4710 Amber Valley Pkwy S, Ste A, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry M Cook |
|---|---|
| Address | 4710 Amber Valley Pkwy S, Ste A, Fargo, North Dakota |
| Phone Number | 7012321956 |
| Fax Number | 7012322226 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114074960 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2012-07-10 |
Provider Mailing Address Detail
| Address | 4710 Amber Valley Pkwy S, Ste A |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 58104 |
| Phone Number | 7012321956 |
| Fax Number | 7012322226 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 1981 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 949321 | ND | BLUE CROSS BLUE SHIELD OF |
Post Comment/ Review Below
What is the Jerry M Cook's unique identification number?
The Jerry M Cook has been assigned the NPI (National Provider Identifier) Number 1114074960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jerry M Cook's physical address?
The Jerry M Cook is physically located at 4710 Amber Valley Pkwy S, Ste A, in the city of Fargo, ND, with the postal code 58104.
What is Jerry M Cook's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry M Cook is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did Jerry M Cook receive its 1114074960 assignment from the Centers for Medicare & Medicaid Services?
The Jerry M Cook was assigned its 1114074960 on 2007-01-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry M Cook, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry M Cook, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-07-10.