Jerry Wayne Cook I, DDS

NPI #1306935788 in West Memphis, Arkansas

Provider Information

NPI Number: 1306935788
Entity Type: Individual
Name: Jerry Wayne Cook I, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 12, 2006
Last Updated: Nov 1, 2022

Practice Location

Address: 715 CALVIN AVERY DRIVE
City: West Memphis
State: Arkansas
ZIP Code: 72301
Phone: (870) 735-3601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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