# GBCC DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Polished of Glen Rose, Polished Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942687264
- **Authorized official:** DR. CLAYTON K COOK DMD (OWNER DENTIST)
- **Authorized official phone:** (817) 294-1090

## Contact information

- **Practice address:** 104 SPANISH OAKS TRAIL, GLEN ROSE, TX 76043
- **Practice address phone:** (254) 897-3143
- **Practice address fax:** (903) 465-1134
- **Mailing address:** 104 SPANISH OAKS TRAIL, GLEN ROSE, TX 76043
- **Mailing address phone:** (254) 897-3143
- **Mailing address fax:** (903) 465-1134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 29154 | TX | Yes |

## Other

- **Enumeration date:** 05/06/2015
- **Last updated:** 09/30/2021