Kevin B. Cook, D.d.s., S.c. | |
1800 State Road 16 La Crosse WI 54601-3011 | |
(608) 782-9667 | |
Not Available |
Full Name | Kevin B. Cook, D.d.s., S.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1800 State Road 16, La Crosse, Wisconsin |
Authorized Official Name and Position | Kevin Burton Cook (PRESIDENT AND TREASURER) |
Authorized Official Contact | 6087829667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kevin B. Cook, D.d.s., S.c. 1800 State Road 16 La Crosse WI 54601-3011 Ph: (608) 782-9667 | Kevin B. Cook, D.d.s., S.c. 1800 State Road 16 La Crosse WI 54601-3011 Ph: (608) 782-9667 |
NPI Number | 1396866026 |
---|---|
Provider Enumeration Date | 04/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396866026 | NPI | - | NPPES |
33716100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3279 (Wisconsin) | Primary |
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