Individual
MR. EARNEST COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3989 SALEM AVENUE, DAYTON, OH 45406-1531
(937) 277-8766
(937) 277-6291
Mailing address
3989 SALEM AVENUE, DAYTON, OH 45406-1531
(937) 277-8766
(937) 277-6291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30 01 4803
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340036
—
OH
Enumeration date
08/29/2006
Last updated
03/11/2013
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