Provider Demographics
NPI:1790346971
Name:COOK, TAYLOR GRACE (DDS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:GRACE
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 1:1659 W STATE HIGHWAY 46 STE 180
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4746
Mailing Address - Country:US
Mailing Address - Phone:830-625-9393
Mailing Address - Fax:
Practice Address - Street 1:1659 W STATE HIGHWAY 46 STE 180
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4746
Practice Address - Country:US
Practice Address - Phone:830-625-6600
Practice Address - Fax:830-629-9393
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX351041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice