Dr. Justin Ryan Cook, D.D.S.
Dentist in Okemos, MI. Individual provider (NPI-1).
NPI number1932319563
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1932319563
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Ryan Cook
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901019571 | MI | Yes |
Practice location
2277 Science PrkwyOkemos, MI 48864-2551
Phone 517-349-6669
Mailing address
1513 Burbank Dr.Saint Johns, MI 48879
Phone 517-202-7765
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