Provider Demographics
NPI:1871651414
Name:KOOK, ARTHUR ELLIOT (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ELLIOT
Last Name:KOOK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 RAMAPO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2710
Mailing Address - Country:US
Mailing Address - Phone:201-337-7733
Mailing Address - Fax:201-337-4923
Practice Address - Street 1:393 RAMAPO VALLEY RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2710
Practice Address - Country:US
Practice Address - Phone:201-337-7733
Practice Address - Fax:201-337-4923
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ106321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice