Dr. Tanner Cook, D.D.S.
Dentist in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1124466321
StatusActive
Last updated in NPPESJun 10, 2013
Details
- NPI
- 1124466321
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tanner Cook
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2013
- Last updated
- Jun 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 361 | OK | Yes |
Practice location
1201 N Stonewall Ave Rm 453Oklahoma City, OK 73117-1214
Phone 405-271-4148
Mailing address
2605 Carlton WayThe Village, OK 73120-3317
Phone 580-695-0390
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