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Contact Information

JERRY W COOK I, DDS
715 CALVIN AVERY DRIVE
WEST MEMPHIS, AR72301
 Phone: 870-735-3601
 Fax: 870-732-9535
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JERRY W COOK I · (Male)

NPI Number 1306935788
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/12/2006
Last updated 11/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 3113
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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