# COOK ENDODONTICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COOK ENDODONTICS, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437530318
- **Legal business name:** COOK ENDODONTICS, PC
- **Authorized official:** DR. JERRY M COOK DMD (PRESIDENT)
- **Authorized official phone:** (701) 232-1956

## Contact information

- **Practice address:** 4710 AMBER VALLEY PKWY S STE A, FARGO, ND 58104-8695
- **Practice address phone:** (701) 232-1956
- **Mailing address:** 4710 AMBER VALLEY PKWY S STE A, FARGO, ND 58104-8695
- **Mailing address phone:** (701) 232-1956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015