Cook, Mary Olivia
Cook, Mary Olivia is an individual health care provider with primary practice located at 1 Woodgreen Pl Ste 100 , Madison MS 39110-8161. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Dentist is her primary health care specialty. Cook, Mary Olivia can be contacted via phone (601) 605-5015.Contact Information
Primary practice address
1 Woodgreen Pl Ste 100
Madison MS 39110-8161
Phone: (601) 605-5015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30.024519 | Ohio |
| Dental Providers / Endodontics | 1223E0200X | ENDO-537-17 | Mississippi |
| Dental Providers / Dentist | 122300000X | 3889-16 | Mississippi |
Profile Details
| NPI number | 1134509813 |
|---|---|
| LBN Legal business name | Cook, Mary Olivia |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2015 |
| Last updated | Apr 30th, 2019 - about 5 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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