# COOK'S FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1578956504
- **Authorized official:** ADAM COOK DDS (OWNER/DENTIST)
- **Authorized official phone:** (931) 374-7082

## Contact information

- **Practice address:** 113 THE ACRES, LEWISBURG, TN 37091-2845
- **Practice address phone:** (931) 359-7004
- **Mailing address:** 1089 OLD WILLIAMSPORT PIKE, COLUMBIA, TN 38401-5658
- **Mailing address phone:** (931) 374-7082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9324 | TN | Yes |

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 03/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1523876 | — | TN |