# DR. TERENCE A.COOK, D.D.S. M.A.G.D.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DR. TERENCE A. COOK,D.D.S.,M.A.G.D.,P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285908251
- **Legal business name:** DR. TERENCE A. COOK,D.D.S.,M.A.G.D.,P.C.
- **Authorized official:** TERENCE ALYSIOUS COOK D.D.S. (OWNERPRESIDENT)
- **Authorized official phone:** (903) 856-3343

## Contact information

- **Practice address:** 113 NORTH AVE, PITTSBURG, TX 75686-1319
- **Practice address phone:** (903) 856-3343
- **Practice address fax:** (903) 856-3343
- **Mailing address:** 113 NORTH AVE, PITTSBURG, TX 75686-1319
- **Mailing address phone:** (903) 856-3343
- **Mailing address fax:** (903) 856-3343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9996 | TX | Yes |

## Other

- **Enumeration date:** 03/08/2012
- **Last updated:** 03/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009386601 | — | TX |