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Individual
JADEN COOK
Active
Individual
JADEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12074
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
12074
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9481505
ID
Other
Enumeration date
05/12/2021
Last updated
08/06/2026
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