Provider record
Larry C Cook
Use this page to review the CMS NPPES listing for Larry C Cook: Dental Laboratory Technician, individual entity type, practice location in Prescott, AZ, and source checked date. Confirm details directly with the provider.
National Plan and Provider Enumeration System
CMS NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1730731928
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 2914 Jerry St
Prescott, AZ 86301-7609 - Phone
- (928) 778-3571
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Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 126900000X
- Specialty
- Dental Laboratory Technician
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
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