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Dr. Jason William Cooke, DDS,MS
Periodontist in Appleton, Wisconsin
NPI 1558662387

Jason William Cooke is a Periodontist based in Appleton, WI and is specialized in Periodontics. Jason William Cooke practices in Appleton, WI and has the professional credentials of DDS,MS. The NPI Number for Jason William Cooke is 1558662387 and holds a License No. 5864-015 (Wisconsin).

The current practice location address for Jason William Cooke is 2557B E Calumet St, Appleton, WI and can be reached out via phone at 920-733-7770 and via fax at 920-733-7798.

Location: 2557B E Calumet St, Appleton, WI, 54915-4748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558662387
Provider Name
Jason William Cooke
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
2557B E Calumet St, Appleton, WI, 54915-4748
Phone Number
920-733-7770
Fax Number
920-733-7798
Provider Enumeration Date
11/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134339500 01 WI ORGANIZATION NPI
institution
Provider Business Practice Location Address Details
Address
2557B E Calumet St
City
Appleton
State
Wisconsin
Zip
54915-4748
Phone Number
920-733-7770
Fax Number
920-733-7798
person
Provider Business Mailing Address Details
Address
2557B E Calumet St
City
Appleton
State
Wisconsin
Zip
54915-4748
Phone Number
920-733-7770
Fax Number
920-733-7798
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5864-015 (Wisconsin)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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