Cooke, Matthew R

Cooke, Matthew R is an individual health care provider with primary practice located at 3501 Terrace Street Suite 3189, Pittsburgh PA 15261. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist Anesthesiologist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Cooke, Matthew R can be contacted via phone (412) 648-9100.

Contact Information

Primary practice address
3501 Terrace Street Suite 3189 Pittsburgh PA 15261
Phone: (412) 648-9100
Fax: (412) 383-7862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist Anesthesiologist 1223D0004X DS038622 Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X 0401410191 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X DS038622 Pennsylvania

Profile Details

NPI number 1487749271
LBN Legal business name Cooke, Matthew R
Credentials DMD, MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 24th, 2018 - about 6 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 1487749271 NPPES
Pennsylvania MEDICAID 1025956760001

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