Cook Children'S Dental

LBN: Cook Childrens Physician Network
Cook Children'S Dental is an health care organization with primary practice located at 2600 E Berry Street , Fort Worth TX 76105-4750. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Cook Childrens Physician Network can be contacted via phone (817) 347-4600, or through Dzurik, Matthew V via phone (682) 885-1416.

Contact Information

Primary practice address
2600 E Berry Street Fort Worth TX 76105-4750
Phone: (817) 347-4600
Fax: (817) 347-4639
Website:
Map and Directions
Authorized official contact:
Name: Dzurik, Matthew V Doctor of Medicine (MD)
Phone: (682) 885-1416

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1841601291
LBN Legal business name Cook Childrens Physician Network
DBA Doing business as Cook Children'S Dental
Authorized official Dzurik, Matthew V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2014
Last updated Jun 29th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841601291 NPPES
Texas Other 1404428A9 DE1

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