Search › Wisconsin › 1223P0300X
Jason Cooke, DDS,MS
NPI 1558662387 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2557b E Calumet St
Appleton, WI 54915 - Phone
- (920) 733-7770
- Fax
- (920) 733-7798
- Organisation at this address
- Fox River Periodontics Sc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin