Cook, Elizabeth Alice

Cook, Elizabeth Alice is an individual health care provider with primary practice located at 7741 Ballantyne Commons Pkwy Suite 101, Charlotte NC 28277-2442. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Cook, Elizabeth Alice can be contacted via phone (704) 845-0955.

Contact Information

Primary practice address
7741 Ballantyne Commons Pkwy Suite 101 Charlotte NC 28277-2442
Phone: (704) 845-0955
Fax: (704) 845-0965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7876 North Carolina

Profile Details

NPI number 1396741203
LBN Legal business name Cook, Elizabeth Alice
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 26th, 2008 - about 17 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 1396741203 NPPES
North Carolina MEDICAID 5906299

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