Larry C Cook
Dental Laboratory Technician in Prescott, AZ. Individual provider (NPI-1).
NPI number1730731928
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1730731928
- Entity type
- Individual (NPI-1)
- Name
- Larry C Cook
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126900000X | Dental Laboratory Technician | – | – | Yes |
Practice location
2914 Jerry StPrescott, AZ 86301-7609
Phone 928-778-3571
Mailing address
2914 Jerry StPrescott, AZ 86301-7609
Phone 928-778-3571
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dental Laboratory Technician providers in Prescott, AZ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.