Organization
J CRAIG COOK DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CRAIG COOK DDS (ORAL & MAXILLOFACIAL SURGEON)
(812) 945-9100
Entity
Organization
Contact information
Practice address
1919 STATE ST, SUITE # 407, NEW ALBANY, IN 47150-4929
(812) 945-9100
(812) 945-9105
Mailing address
1919 STATE ST, SUITE # 407, NEW ALBANY, IN 47150-4929
(812) 945-9100
(812) 945-9105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12009951
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333200A
—
IN
Enumeration date
01/10/2012
Last updated
01/10/2012
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