Organization
HENRY L COOK D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY L COOK DDS PC (OWNER)
(706) 322-3218
Entity
Organization
Contact information
Practice address
1190 MARTIN LUTHER KING JR BLVD, COLUMBUS, GA 31906-3665
(706) 322-3218
(706) 322-3219
Mailing address
1190 MARTIN LUTHER KING JR BLVD, COLUMBUS, GA 31906-3527
(706) 322-3218
(706) 322-3219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00056933A2
—
GA
Enumeration date
01/23/2007
Last updated
02/06/2013
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