Gary Stewart Cooke, D.M.D.

General Practice Dentistry · Gresham, OR

Individual Active NPI

NPI number 1750587085

Practice location

490 E Powell Blvd
Gresham, OR 97030-7610
Phone
(503) 665-6166
Fax
(503) 661-7236

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NPI record

NPI
1750587085
Entity type
Individual (Type 1)
Enumeration date
June 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4712 OR

About Dr. Cooke

Gary Stewart Cooke, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 490 E Powell Blvd, Gresham, OR 97030-7610. The NPI number 1750587085 was assigned on June 24, 2007 and the record was last updated on July 8, 2007.

Dr. Cooke lists a license in the registry: #4712 (OR) 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 Gary Stewart Cooke, D.M.D.?

The NPI number is 1750587085.

What is the phone number of Dr. Cooke?

The phone number listed for the practice location is (503) 665-6166.

Where is Dr. Cooke located?

490 E Powell Blvd, Gresham, OR 97030-7610.

What is the taxonomy code for Dr. Cooke?

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.

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