| J Craig Cook Dds, Pc | |
|
1919 State St Suite # 407 New Albany IN 47150-4929 | |
| (812) 945-9100 | |
| (812) 945-9105 |
| Full Name | J Craig Cook Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1919 State St, New Albany, Indiana |
| Authorized Official Name and Position | John Craig Cook (ORAL & MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 8129459100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Craig Cook Dds, Pc 1919 State St Suite # 407 New Albany IN 47150-4929 Ph: (812) 945-9100 | J Craig Cook Dds, Pc 1919 State St Suite # 407 New Albany IN 47150-4929 Ph: (812) 945-9100 |
| NPI Number | 1841560794 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841560794 | NPI | - | NPPES |
| 200333200A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12009951 (Indiana) | Primary |
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