Individual
DR. DEAN LEWIS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 DEFIANCE ST, TICONDEROGA, NY 12883
(518) 585-2864
(518) 585-7753
Mailing address
PO BOX 150, TICONDEROGA, NY 12883
(518) 585-2864
(518) 585-7753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NY029286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00370952
—
NY
Enumeration date
04/02/2007
Last updated
07/08/2007
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