Cook, Jonathan Todd

Cook, Jonathan Todd is an individual health care provider with primary practice located at 1001 Molalla Ave Suite 110, Oregon City OR 97045-3788. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Cook, Jonathan Todd can be contacted via phone (503) 656-8287.

Contact Information

Primary practice address
1001 Molalla Ave Suite 110 Oregon City OR 97045-3788
Fax: (503) 656-8375
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D7453 Oregon

Profile Details

NPI number 1366694549
LBN Legal business name Cook, Jonathan Todd
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2008
Last updated Oct 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366694549 NPPES
Oregon Other 1275610495 BUSINESS NPI #

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