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Contact Information

JERRY M COOK, DDS
4710 AMBER VALLEY PARKWAY S, STE A
FARGO, ND58104
 Phone: 701-232-1956
 Fax: 701-232-2226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JERRY M COOK · (Male)

NPI Number 1114074960
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/04/2007
Last updated 07/10/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 1981
  • ND Other 949321 BLUE CROSS BLUE SHIELD OF
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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