# COOK FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558893800
- **Authorized official:** DR. ANDREW JOSEPH COOK D.M.D. (MANAGING MEMBER)
- **Authorized official phone:** (334) 297-5992

## Contact information

- **Practice address:** 2355 LEE ROAD 430, SMITHS STATION, AL 36877-4832
- **Practice address phone:** (334) 297-5992
- **Practice address fax:** (334) 297-5993
- **Mailing address:** 2355 LEE ROAD 430, SMITHS STATION, AL 36877-4832
- **Mailing address phone:** (334) 297-5992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6012 | AL | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/29/2017