Corey Alan Cook, DDS
Individual provider Active NPI General Practice Dentistry · Mason, MI
NPI 1396192217 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1396192217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901021836 (MI)
- Practice address
- 609 W South St
Mason, MI 48854-2010 - Phone
- (517) 676-9566
- NPI assigned
- May 20, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021836 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corey a Cook DDS PC | Current | Accepting new patients | |
| Peak Performance Physical Therapy, PLC | Past |
Accepting new patients | |
| Schaefer Dental Group - Grand Rapids, PLLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901021836 | MI | Yes |
Addresses
Primary practice location
609 W South St
Mason, MI 48854-2010
Mailing address
609 W South St
Mason, MI 48854-2010
Phone (517) 676-9566
Other providers in Mason, MI
- Consumer Services Inc
- Consumer Services Inc
- Consumer Services Inc.
- Consumer Services, Inc.
- Consumer Services, Inc.
- Andrea Coons
- Jonathan S Cooper
- Nitasha Cooper
- Coston Chiropractic Center PLLC
- Alan Coston Jr.
All providers in Mason, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.