Provider Demographics
NPI:1720437544
Name:COOK, RACHEL ALYSSA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ALYSSA
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 1:2601 TUPELO CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6390
Mailing Address - Country:US
Mailing Address - Phone:989-284-5267
Mailing Address - Fax:
Practice Address - Street 1:1 ELM SQ STE 1D
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3667
Practice Address - Country:US
Practice Address - Phone:978-296-4964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18578921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry