NPI 1104834522

Richard J. Cook DDS PC

Organisation Dental Clinic/Center Juneau, AK

Practice location

Address: 712 W 12th St, Juneau, AK 99801-1528
Phone: (907) 463-3623
Fax: (907) 463-1115

Authorised official

Name: Ellen K Cook
Title: Office Manager
Phone: (907) 463-3623

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 664 (AK)

Other Clinic/Center providers in Alaska →

Registry record

NPI: 1104834522
Entity type: Organization
NPI issued: 3 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.