Individual
DR. JEFFREY LANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 PENNINGTON ST, SUITE 300, MIDDLETOWN, DE 19709-1021
(302) 478-4416
(303) 478-4886
Mailing address
100 E LANARK DR, WILMINGTON, DE 19807-1050
(302) 655-9441
(302) 655-4648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
867
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
867
DELAWARE DENTAL LICENSE #
DE
Enumeration date
05/09/2007
Last updated
07/08/2007
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