Organization
COOK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN LELAND COOK DDS MSD (OWNER)
(812) 853-2977
Entity
Organization
Contact information
Practice address
8011 ROBIN HILL RD, NEWBURGH, IN 47630-3083
(812) 853-2977
(812) 853-1705
Mailing address
8011 ROBIN HILL RD, PO BOX 206, NEWBURGH, IN 47630-3083
(812) 853-2977
(812) 853-1705
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010543
IN
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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