Provider Demographics
NPI:1528853132
Name:HEIDI COOK, DMD, PLLC
Entity type:Organization
Organization Name:HEIDI COOK, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-728-3683
Mailing Address - Street 1:201 BRUTON DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9223
Mailing Address - Country:US
Mailing Address - Phone:508-728-3683
Mailing Address - Fax:
Practice Address - Street 1:119 N CHURTON ST
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2533
Practice Address - Country:US
Practice Address - Phone:919-732-8179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty