Organization
FOOTBRIDGE FAMILY DENTISTRY, PA
Active
Other names
Ryan M. Cook, D.M.D. Family & Cosmetic Dentistry, Cook Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M COOK (DENTIST/ OWNER/ PRESIDENT)
(864) 232-5289
Entity
Organization
Contact information
Practice address
16 MILLS AVE STE 5, GREENVILLE, SC 29605-4065
(864) 232-5289
(864) 232-9860
Mailing address
16 MILLS AVE STE 5, GREENVILLE, SC 29605-4065
(864) 232-5289
(864) 232-9860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3866
SC
Other
Enumeration date
10/04/2011
Last updated
10/23/2018
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