# JADEN COOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205410594
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 12074 | TN | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 12074 | TN | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 9481505 | ID | Yes |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 08/06/2026