M. Stacy Cook, Dmd is a Dental Clinic in Leakesville, Mississippi. It is located at 403 Main St, Leakesville, MS and its contact number is 601-394-2467. The authorized person for M. Stacy Cook, Dmd is Mrs. Stacy Wilson
who is Office Manager of the clinic and their contact number is 601-394-2467. The primary license number for M. Stacy Cook, Dmd is 2870 95 (Dentist) in Mississippi. M. Stacy Cook, Dmd Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
M. Stacy Cook, Dmd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
M. Stacy Cook, Dmd
Specialization:
Dentistry
Clinic Address:
403 Main St, Leakesville, Mississippi, 39451
Phone:
601-394-2467
Fax:
601-394-2468
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Stacy Wilson
Position:
Office Manager
Contact Number:
601-394-2467
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for M. Stacy Cook, Dmd clinic are as mentioned below.
NPI Number:
1073722203
NPI Enumeration Date:
22 May, 2007
NPI Last Update On:
25 Apr, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for M. Stacy Cook, Dmd are as mentioned below.
Specialization
License Number
State
Status
Dentist
2870 95
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
73003671
Other
Alabama
Bcbs Al
09015334
Medicaid
Mississippi
425495231B
Other
Mississippi
Bcbs Of Ms
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
M. Stacy Cook, Dmd Po Box 280, Leakesville, Mississippi
Zip:
39451-0280
Phone Number:
601-394-2467
Fax Number:
601-394-2468
Patients can reach M. Stacy Cook, Dmd at 403 Main St, Leakesville, Mississippi or can call to book an appointment on 601-394-2467. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.