Holly C Cook in Shreveport - Pediatric Dentistry
Holly C Cook - NPI 1275680852
Holly C Cook is a Pediatric Dentistry in Shreveport, Louisiana. Holly C Cook practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Holly C Cook is 1275680852. The last update date is 2007-07-08.
Holly C Cook's current location address is 7600 Fern Ave, Shreveport, Louisiana. You can contact this provider via phone number 3185242024. The mailing address for Holly C Cook is 7600 Fern Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly C Cook |
|---|---|
| Address | 7600 Fern Ave, Shreveport, Louisiana |
| Phone Number | 3185242024 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275680852 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7600 Fern Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711055659 |
| Phone Number | 3185242024 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5329 |
|
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. |
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What is the unique 10-digit identification code assigned to Holly C Cook by the Centers for Medicare & Medicaid Services?
The Holly C Cook has been issued the NPI (National Provider Identifier) 1275680852, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Holly C Cook located?
The Holly C Cook is located at 7600 Fern Ave, Shreveport, LA 711055659.
What is Holly C Cook's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holly C Cook's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Holly C Cook receive its 1275680852 assignment from the Centers for Medicare & Medicaid Services?
The Holly C Cook was assigned its 1275680852 by the Centers for Medicare & Medicaid Services on 2007-01-04.
As of what date were the details pertaining to Holly C Cook last refreshed?
The information related to the Holly C Cook, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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