# LOREN S COOK DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence J. Kyle DDS, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346263613
- **Authorized official:** MRS. LOREN S. COOK DMD (DENTIST/OWNER/PRESIDENT)
- **Authorized official phone:** (540) 951-8383

## Contact information

- **Practice address:** 611 S MAIN STREET, STE A, BLACKSBURG, VA 24060-5208
- **Practice address phone:** (540) 951-8383
- **Practice address fax:** (540) 953-5030
- **Mailing address:** 611 S MAIN STREET, STE A, BLACKSBURG, VA 24060-5208
- **Mailing address phone:** (540) 951-8383
- **Mailing address fax:** (540) 953-5030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 401006217 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401006217 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401412480 | VA | Yes |
| 1223G0001X | General Practice Dentistry | 0401412653 | VA | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 12/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001494067 | UNITED CONCORDIA | — |
| 05 | — | 007820861 | — | VA |
| 05 | — | 01321 | — | VA |
| 01 | — | 013321 | DORAL DENTAL | VA |
| 01 | — | 0494067 | UNITED CONCORDIA | VA |
| 01 | — | 229986 | ANTHEM BLUE CROSS BLUE SH | VA |
| 01 | — | 6217 | DELTA DENTAL | VA |
| 05 | — | 9220900 | — | VA |
| 05 | — | 9225146 | — | VA |