Individual
DR. THOMAS S COOKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
39 W WILLIAMSBURG RD, SANDSTON, VA 23150
(804) 737-7402
(804) 737-5442
Mailing address
39 W WILLIAMSBURG RD, SANDSTON, VA 23150
(804) 737-7402
(804) 737-5442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
VA04618
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204677
ANTHEM
VA
05
—
9178540
—
VA
01
—
983528
UNITED CONCORDIA
VA
Enumeration date
11/20/2006
Last updated
07/08/2007
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