Provider Demographics
NPI:1750412664
Name:REED-COOK, TERI DANETTE (DDS)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:DANETTE
Last Name:REED-COOK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:DANETTE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3118B S. GARNETT ROAD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146
Mailing Address - Country:US
Mailing Address - Phone:918-622-0094
Mailing Address - Fax:918-622-2603
Practice Address - Street 1:3118B S. GARNETT ROAD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146
Practice Address - Country:US
Practice Address - Phone:918-622-0094
Practice Address - Fax:918-622-2603
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16121223G0001X
TX163861223G0001X
OK59181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice