Cook, Clifford A

Cook, Clifford A is an individual health care provider with primary practice located at 6641 N High St Suite 105, Worthington OH 43085-4038. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cook, Clifford A can be contacted via phone (614) 885-3339.

Contact Information

Primary practice address
6641 N High St Suite 105 Worthington OH 43085-4038
Phone: (614) 885-3339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 017777 Ohio

Profile Details

NPI number 1417976317
LBN Legal business name Cook, Clifford A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417976317 NPPES
Ohio Other 0695142 MEDICARE ID

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