NPI 1003662016

Jill Elizabeth Cook, RDH

Practitioner Dental Hygienist Traverse City, MI

Practice location

Address: 10767 E Traverse Hwy STE B, Traverse City, MI 49684-6219
Phone: (231) 947-0351
Mailing address: 2632 Lakes North Dr, Interlochen, MI 49643-9134

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902010556 (MI)

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Registry record

NPI: 1003662016
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2024
Record last updated: 29 Apr 2024

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.