NPI 1104901628

Glenn Staton Cook, DMD

Practitioner Dentist Ocean Springs, MS

Practice location

Address: 1000 N Halstead Rd A, Ocean Springs, MS 39564-3119
Phone: (228) 875-4428
Mailing address: 1000 a North Halstead, Ocean Springs, MS 39564

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2473-89 (MS)

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Registry record

NPI: 1104901628
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2006
Record last updated: 8 Jul 2007

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.