Individual
DR. CANDACE REBEKAH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
164 BLUFFTON RD, BLUFFTON, SC 29910-6248
(843) 815-5437
Mailing address
17 7TH AVE, BLUFFTON, SC 29910-8702
(229) 206-1726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN122781
GA
1223P0221X
Pediatric Dentistry
Primary
11192
SC
390200000X
Student in an Organized Health Care Education/Training Program
DN122781
—
Other
Enumeration date
07/15/2022
Last updated
08/27/2025
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