Holly L Cook in South Lake Tahoe - General Practice

Holly L Cook - NPI 1184780173

Holly L Cook is a General Practice in South Lake Tahoe, California. Holly L Cook practices all healthcare services and medical treatments related to General Practice. The NPI Number for Holly L Cook is 1184780173. The last update date is 2007-07-08.

Holly L Cook's current location address is 2229 Barton Ave, South Lake Tahoe, California. You can contact this provider via phone number 5305417862 and fax number 5305417863. The mailing address for Holly L Cook is 2229 Barton Ave, South Lake Tahoe, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly L Cook
Address 2229 Barton Ave, South Lake Tahoe, California
Phone Number 5305417862
Fax Number 5305417863
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1184780173
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2229 Barton Ave
City South Lake Tahoe
State California (CA)
Post Code 961503411
Phone Number 5305417862
Fax Number 5305417863

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 36741
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Holly L Cook

What is the unique identification code assigned to Holly L Cook by the Centers for Medicare & Medicaid Services?

The Holly L Cook has been issued the NPI (National Provider Identifier) 1184780173. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Holly L Cook's facilities are situated?

The facilities of Holly L Cook are physically located at the following address: 2229 Barton Ave, South Lake Tahoe, CA, 961503411.

What is Holly L Cook's specialized field of practice, and what is the corresponding taxonomy classification code?

The Holly L Cook's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Holly L Cook receive the assignment of its 1184780173 from the Centers for Medicare & Medicaid Services?

The Holly L Cook was issued its 1184780173 by the Centers for Medicare & Medicaid Services on 2006-12-28.

As of what date were the details pertaining to Holly L Cook last refreshed?

The information related to the Holly L Cook, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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