Individual
MR. MATTHEW R COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
DS038622
PA
1223P0221X
Pediatric Dentistry
0401410191
VA
1223P0221X
Pediatric Dentistry
Primary
DS038622
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025956760001
—
PA
Enumeration date
10/04/2006
Last updated
09/05/2024
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