Provider Demographics
NPI:1417970666
Name:COOK, CYNTHIA ANN (DDS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:COOK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7475 SKILLMAN ST STE 105A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-8321
Mailing Address - Country:US
Mailing Address - Phone:214-553-1122
Mailing Address - Fax:214-553-5093
Practice Address - Street 1:7475 SKILLMAN ST STE 105A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8321
Practice Address - Country:US
Practice Address - Phone:214-553-1122
Practice Address - Fax:214-553-5093
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13072122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13072OtherDENTAL LISCENCE