Individual
THOMAS R COOK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, M.D
Contact information
Practice address
625 MORRISON SPRINGS RD, CHATTANOOGA, TN 37415-3401
(423) 855-5550
(423) 899-9182
Mailing address
110 N PALISADES DR, SIGNAL MOUNTAIN, TN 37377-3037
(423) 886-9337
(423) 899-9182
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000004615
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS04615
GA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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