Ethan Cook, DDS in Santa Rosa, CA - Dentist

Ethan Cook, DDS is a Dentist - General Practice based in Santa Rosa, California. Ethan Cook is licensed to practice in California (license number 108995) and his current practice location is 2448 Guerneville Rd Ste 200, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 579-2808.

NPI number for Ethan Cook is 1679357990 and his current mailing address is 2448 Guerneville Rd Ste 200, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679357990.

Contact Information

	Ethan Cook, DDS
	2448 Guerneville Rd Ste 200, Santa Rosa, CA 95403-7223
	(707) 579-2808
	Not Available

Healthcare Provider's Profile

Full Name	Ethan Cook
Gender	Male
Speciality	Dentist - General Practice
Location	2448 Guerneville Rd Ste 200, Santa Rosa, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1679357990
Provider Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023

Medical Identifiers

Medical identifiers for Ethan Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679357990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	108995 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Cook is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethan Cook, DDS 2448 Guerneville Rd Ste 200, Santa Rosa, CA 95403-7223 Ph: (707) 579-2808	Ethan Cook, DDS 2448 Guerneville Rd Ste 200, Santa Rosa, CA 95403-7223 Ph: (707) 579-2808

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Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403 Phone: 707-579-2808
Dr. Simone Winkler Downs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405 Phone: 707-575-4450 Fax: 415-789-1252
Paul James Steigerwald, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 868 2nd St, Santa Rosa, CA 95404 Phone: 707-525-1228 Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403 Phone: 707-545-4104 Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405 Phone: 707-566-7300 Fax: 707-566-7400
Dr. Brian William Payne, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405 Phone: 707-546-5234 Fax: 707-546-3928
Dr. Hiko Ruo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404 Phone: 707-528-3412 Fax: 707-528-1058

Ethan Cook, DDS - Dentist in Santa Rosa, CA