Craig R. Cooksley in Rapid City - Pediatric Dentistry

Craig R. Cooksley - NPI 1528091618

Craig R. Cooksley is a Pediatric Dentistry in Rapid City, South Dakota. Craig R. Cooksley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Craig R. Cooksley is 1528091618. The last update date is 2014-07-16.

Craig R. Cooksley's current location address is 700 Sheridan Lake Rd, Rapid City, South Dakota. You can contact this provider via phone number 6053413068 and fax number 6053415757. The mailing address for Craig R. Cooksley is 700 Sheridan Lake Rd, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig R. Cooksley
Address 700 Sheridan Lake Rd, Rapid City, South Dakota
Phone Number 6053413068
Fax Number 6053415757
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1528091618
Provider Enumeration Date 2006-07-09
Last Updated Date 2014-07-16

Provider Mailing Address Detail

Address 700 Sheridan Lake Rd
City Rapid City
State South Dakota (SD)
Post Code 577022407
Phone Number 6053413068
Fax Number 6053415757

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No M640
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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FAQs about Craig R. Cooksley

What is the Craig R. Cooksley's unique identification number?

The Craig R. Cooksley has been assigned the NPI (National Provider Identifier) Number 1528091618 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Craig R. Cooksley is physically located?

The Craig R. Cooksley is physically situated at the following address: 700 Sheridan Lake Rd, Rapid City, SD, 577022407.

What is Craig R. Cooksley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Craig R. Cooksley'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 Centers for Medicare & Medicaid Services originally issue the 1528091618 to Craig R. Cooksley?

The Centers for Medicare & Medicaid Services originally issued the 1528091618 to Craig R. Cooksley on 2006-07-09.

When was the information regarding Craig R. Cooksley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Craig R. Cooksley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-16.

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