Provider Demographics
NPI:1497965438
Name:LORIN COOK, D.D.S.
Entity Type:Organization
Organization Name:LORIN COOK, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORIN
Authorized Official - Middle Name:O
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-963-7770
Mailing Address - Street 1:999 ADAMS ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1148
Mailing Address - Country:US
Mailing Address - Phone:707-963-7770
Mailing Address - Fax:707-963-7887
Practice Address - Street 1:999 ADAMS ST
Practice Address - Street 2:SUITE 303
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1148
Practice Address - Country:US
Practice Address - Phone:707-963-7770
Practice Address - Fax:707-963-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22723122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty