# ORTHODONTIC SPECIALISTS OF YUMA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Cook Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548797996
- **Authorized official:** DR. JEFF COOK DMD MS (ORTHODONTIST / OWNER)
- **Authorized official phone:** (928) 782-7863

## Contact information

- **Practice address:** 2851 S AVENUE B STE 18, YUMA, AZ 85364-7726
- **Practice address phone:** (928) 782-7863
- **Practice address fax:** (928) 782-0253
- **Mailing address:** 2851 S AVENUE B STE 18, YUMA, AZ 85364-7726
- **Mailing address phone:** (928) 782-7863
- **Mailing address fax:** (928) 782-0253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5013 | AZ | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 07/21/2022