Cook, Henry William

Cook, Henry William is an individual health care provider with primary practice located at 142 Gateway Dr , Brandon MS 39042-3085. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cook, Henry William can be contacted via phone (601) 824-1950.

Contact Information

Primary practice address
142 Gateway Dr Brandon MS 39042-3085
Phone: (601) 824-1950
Fax: (601) 824-1953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2716-93 Mississippi

Profile Details

NPI number 1174608368
LBN Legal business name Cook, Henry William
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1174608368 NPPES
Mississippi Other 2716-93 DENTAL LICENSE NUMBER
Mississippi MEDICAID 00660112 DENTAL LICENSE NUMBER

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