Earnest Cook, DDS
Dentist in Dayton, OH. Individual provider (NPI-1).
NPI number1619086337
StatusActive
Last updated in NPPESMar 11, 2013
Details
- NPI
- 1619086337
- Entity type
- Individual (NPI-1)
- Name
- Mr. Earnest Cook
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2006
- Last updated
- Mar 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 30 01 4803 | OH | Yes |
Practice location
3989 Salem AvenueDayton, OH 45406-1531
Phone 937-277-8766 · Fax 937-277-6291
Mailing address
3989 Salem AvenueDayton, OH 45406-1531
Phone 937-277-8766 · Fax 937-277-6291
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