Jeremiah Eugene Cook

General Practice Dentistry · Buchanan, GA

Individual Active NPI

NPI number 1306522909

Practice location

3516 Business 27
Buchanan, GA 30113-4813
Phone
(770) 646-8294

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NPI record

NPI
1306522909
Entity type
Individual (Type 1)
Enumeration date
June 27, 2023
Last updated
July 11, 2023
Certified
July 11, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN123109 GA

Mailing address

2582 Old Roswell Rd SE Unit B
Smyrna, GA 30080-2112
Phone
(770) 712-9062

About Jeremiah Cook

Jeremiah Eugene Cook is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3516 Business 27, Buchanan, GA 30113-4813. The NPI number 1306522909 was assigned on June 27, 2023 and the record was last updated on July 11, 2023.

Jeremiah Cook lists a license in the registry: #DN123109 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeremiah Eugene Cook?

The NPI number is 1306522909.

What is the phone number of Jeremiah Cook?

The phone number listed for the practice location is (770) 646-8294.

Where is Jeremiah Cook located?

3516 Business 27, Buchanan, GA 30113-4813.

What is the taxonomy code for Jeremiah Cook?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.