Organization
FAMILY DENTISTRY OF EDGEFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WAYNE COOK DMD (OWER/DOCTOR)
(803) 637-4616
Entity
Organization
Contact information
Practice address
437 BAUSKETT ST, EDGEFIELD, SC 29824-4501
(803) 637-4616
(888) 723-3083
Mailing address
437 BAUSKETT ST, EDGEFIELD, SC 29824-4501
(803) 637-4616
(888) 723-3083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4708
SC
Other
Enumeration date
08/22/2016
Last updated
06/23/2021
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