HOLLY C COOK (NPI# 1275680852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275680852 |
| Entity Type | Individual |
| Full Name | HOLLY C COOK |
| Credential | DDS |
| Practice Address |
7600 Fern Ave Building 800 Shreveport LA 71105-5659 |
| Practice Telephone | 3185242024 |
| Mailing Telephone | 3185242024 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5329 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497980858 | Holly M Cook | Speech-Language Pathologist | 1972 Del Paso Rd, Suite 156, Sacramento, CA 95834-7724 | 2009-05-28 |
| 1477034742 | Holly Cook | Counselor | 40 Beacon St E, Laconia, NH 03246-3437 | 2018-08-24 |
| 1740726785 | Holly Christine Cook | Physician Assistant | 11307 N Linden Rd, Suite B, Clio, MI 48420-8501 | 2017-01-15 |
| 1184780173 | Holly L Cook | Dentist | 2229 Barton Ave, So. Lake Tahoe, CA 96150-3411 | 2006-12-28 |
| Street Address |
7600 FERN AVE BUILDING 800 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750347498 | Jason Harold Lustig | Dentist | 7600 Fern Ave, Building 1400, Shreveport, LA 71105-5659 | 2006-04-21 |
| 1114308582 | Fern Avenue Dental Center | Dentist | 7600 Fern Ave, Bldg 1100, Shreveport, LA 71105-5659 | 2015-06-11 |
| 1003092545 | Arklatex Oral & Maxillofacial Surgery A Partnership of Professional De | Dentist | 7600 Fern Ave, Building 1400, Shreveport, LA 71105-5659 | 2008-01-15 |
| 1497875553 | Paul Collins Heilman | Dentist | 7600 Fern Ave, Bldg #1100, Shreveport, LA 71105-5659 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871936633 | Stephanie Phan Garrett | Dentist | 2859 Caribbean Cv, Shreveport, LA 71105-2763 | 2013-04-11 |
| 1073755435 | Pediatric Dental Partners, LLP | Dentist | 318 Carroll St., Shreveport, LA 71105-4132 | 2009-04-01 |
| 1902936289 | Bryan R. Stewart | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2007-03-06 |
| 1558428094 | Cecil Rhodes Lloyd | Dentist | 927 Shreveport Barksdale Hwy, Shreveport, LA 71105-2205 | 2007-01-03 |
| 1770028946 | Cuddle Kids Dental Care of Shreveport, LLC | Dentist | 2433 E 70th St, Suite A, Shreveport, LA 71105-4787 | 2016-12-27 |
| 1346479656 | Susan L. Chidlow | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-08 |
| 1891924205 | Lauren F. Wallace | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1306075718 | Shannon M. Backofen | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2009-07-07 |
| 1790900264 | Daniel A Crawford | Dentist | 318 Carroll St, Shreveport, LA 71105-4132 | 2007-04-17 |
| 1083628093 | Emily Steger Neeley | Dentist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-07-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on HOLLY C COOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.