NPI 1457565830 · live from the CMS NPI Registry
Jeffrey Lane Cook, DMD
Dentist in Middletown, DE. National Provider Identifier 1457565830, active.
NPI record
| NPI | 1457565830 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 12 Pennington St, Suite 300, Middletown, DE 19709 |
| Practice phone | 302-478-4416 |
| Mailing address | 100 E Lanark Dr, Wilmington, DE 19807 |
| Enumerated | May 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 867 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.