Active NPIIndividual provider

Edwin R Cook, DDS

Dentist, Periodontics in Fairfield, Connecticut

NPI Number1902903412
Practice location
1817 Black Rock Turnpike, Fairfield, CT 06825
Fax
—
Last updated
July 8, 2007

Edwin R Cook is a Dentist, Periodontics based in Fairfield, CT. Edwin R Cook practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Edwin R Cook is 1902903412 and holds a License No. 4767 (CT). The current practice location address for Edwin R Cook is 1817 Black Rock Turnpike, Fairfield, CT 06825 and can be reached out via phone at 203-368-6600.

Provider Profile Details

NPI Number
1902903412
Provider Name
Edwin R Cook
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1817 Black Rock Turnpike, Fairfield, CT 06825
Phone Number
203-368-6600
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1817 Black Rock Turnpike
Fairfield, CT 06825
Zip
06825
Phone Number
203-368-6600
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
1817 Black Rock Turnpike
Fairfield, CT 06825
City
Fairfield
State
CT
Zip
06825
Phone Number
203-368-6600

License Information

License Number
4767
License State
CT
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edwin R Cook, DDS?

The NPI number of Edwin R Cook, DDS is 1902903412. It was assigned on September 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Edwin R Cook, DDS?

Edwin R Cook, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in CT under license number 4767.

Where does Edwin R Cook, DDS practice?

The practice location is 1817 Black Rock Turnpike, Fairfield, CT 06825. The office can be reached at 203-368-6600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902903412 directly on the NPPES registry website.

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