EDWIN R COOK (NPI# 1902903412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902903412 |
| Entity Type | Individual |
| Full Name | EDWIN R COOK |
| Credential | DDS |
| Practice Address |
1817 Black Rock Turnpike Fairfield CT 06825 |
| Practice Telephone | 2033686600 |
| Mailing Telephone | 2033686600 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4767 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790166734 | Edwin Cook | Optometrist | 3200 N Sepulveda Blvd Ste E4, Manhattan Beach, CA 90266-2469 | 2015-06-16 |
| 1508952011 | Edwin John Cook | Internal Medicine | 4001 Vollmer Rd., Olympia Fields, IL 60461 | 2006-10-04 |
| 1700898038 | Edwin H. Cook Jr. | Psychiatry & Neurology | 1747 W Roosevelt Rd, Chicago, IL 60608-1264 | 2006-08-13 |
| 1053388975 | Edwin N Cook | Radiology | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 | 2006-03-01 |
| Street Address |
1817 BLACK ROCK TURNPIKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124038997 | Camillo L Fontana | Dentist | 1817 Black Rock Turnpike, Suite 205, Fairfield, CT 06825 | 2006-08-08 |
| 1376619924 | Advanced Medical Footcare, LLC | Podiatrist | 1817 Black Rock Turnpike, Fairfield, CT 06825-3546 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871898130 | Mark David Sutter | Dentist | 3700 Hilborn Rd Ste 300, Suite 300, Fairfield, CA 94534-7996 | 2011-01-18 |
| 1225253016 | Michael Kevin Sonick | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2007-04-16 |
| 1851415749 | Cary Alan Shapoff | Dentist | 71 Beach Rd, Fairfield, CT 06824-6001 | 2007-03-18 |
| 1548326713 | Larry Steven Martin | Dentist | 1211 Nilles Rd, Fairfield, OH 45014-2911 | 2006-12-29 |
| 1396818142 | Valerie Margaret Godfrey | Dentist | 1225 Travis Blvd Ste H, Fairfield, CA 94533-4839 | 2006-11-16 |
| 1518401702 | Fairfield County Implants and Periodontics | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2016-12-07 |
| 1376958520 | Rui Ma | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2014-06-26 |
| 1447564893 | Miles Chu | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2010-07-27 |
| 1952556797 | Fairfield County Implants & Periodontics, PC | Dentist | 1047 Old Post Rd, Fairfield, CT 06824-5906 | 2008-11-20 |
| 1508069451 | Fairfield Periodontics, LLC | Dentist | 71 Beach Rd, Fairfield, CT 06824-6001 | 2007-06-07 |
| Find all providers in FAIRFIELD | ||||
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| 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.