Henry William Cook in Brandon - Pediatric Dentistry
Henry William Cook - NPI 1174608368
Henry William Cook is a Pediatric Dentistry in Brandon, Mississippi. Henry William Cook practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Henry William Cook is 1174608368. The last update date is 2007-07-09.
Henry William Cook's current location address is 142 Gateway Dr, Brandon, Mississippi. You can contact this provider via phone number 6018241950 and fax number 6018241953. The mailing address for Henry William Cook is 142 Gateway Dr, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry William Cook |
|---|---|
| Address | 142 Gateway Dr, Brandon, Mississippi |
| Phone Number | 6018241950 |
| Fax Number | 6018241953 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1174608368 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 142 Gateway Dr |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390423085 |
| Phone Number | 6018241950 |
| Fax Number | 6018241953 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2716-93 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2716-93 | MS | DENTAL LICENSE NUMBER | |
| 660112 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Henry William Cook by the Centers for Medicare & Medicaid Services?
The Henry William Cook has been assigned the NPI (National Provider Identifier) 1174608368. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Henry William Cook?
The Henry William Cook is situated at 142 Gateway Dr, in the city of Brandon, state of MS, with the zip code 390423085.
What is Henry William Cook's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Henry William Cook is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174608368 to Henry William Cook?
The Henry William Cook received its 1174608368 assignment from the Centers for Medicare & Medicaid Services on 2006-10-26.
As of what date were the Henry William Cook's details last updated?
The information pertaining to the Henry William Cook, including its address, specialty, and other details, was most recently updated on 2007-07-09.