Provider Type Icon

WAYNE COOK DENTISRTY LLC NPI 1457716870


NPI Information

NPI: 1457716870
Provider Name: WAYNE COOK DENTISRTY LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
303 BANCARIO STE 7
MARION, AR
ZIP 72364
Phone: (870) 739-8799
Get Directions

WAYNE COOK DENTISRTY LLC is a dental clinic center in Marion, AR. WAYNE COOK DENTISRTY LLC NPI is 1457716870. The provider is registered as an organization entity type.

The provider's business location address is:

303 BANCARIO STE 7
MARION, AR
ZIP 72364-826
Phone: (870) 739-8799
Fax: (870) 739-8675

The provider's authorized official is Jerry Wayne Cook .
The authorized official title is Owner and has the following contact phone number (870) 739-8799.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental3113ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1128223608MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.