Organization
DR. TERENCE A.COOK, D.D.S. M.A.G.D.P.C.
Active
Parent organization
DR. TERENCE A. COOK,D.D.S.,M.A.G.D.,P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. TERENCE A. COOK,D.D.S.,M.A.G.D.,P.C.
Authorized official
TERENCE ALYSIOUS COOK D.D.S. (OWNERPRESIDENT)
(903) 856-3343
Entity
Organization
Contact information
Practice address
113 NORTH AVE, PITTSBURG, TX 75686-1319
(903) 856-3343
(903) 856-3343
Mailing address
113 NORTH AVE, PITTSBURG, TX 75686-1319
(903) 856-3343
(903) 856-3343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009386601
—
TX
Enumeration date
03/08/2012
Last updated
03/08/2012
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