Organization
COOK ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVON R. COOK D.D.S., M.D.S. (PRESIDENT)
(812) 402-3485
Entity
Organization
Contact information
Practice address
7321 EAGLE CREST BLVD, EVANSVILLE, IN 47715-8157
(812) 402-3485
(812) 402-3482
Mailing address
7321 EAGLE CREST BOULEVARD, EVANSVILLE, IN 47715
(812) 402-3485
(812) 402-3482
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010257A
IN
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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