MEDICARE: CLAYTON KOTTER COOK DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	29154	TX

General Provider Information

NPI Number	:	1578903217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAYTON KOTTER COOK DMD

Provider Business Mailing Address
First Line	:	6708 S HULEN ST STE 3
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5243
Country	:	US
Telephone Number	:	817-294-1090
Fax Number	:

Provider Business Practice Location Address
First Line	:	6708 S HULEN ST STE 3
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5243
Country	:	US
Telephone Number	:	817-294-1090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	05/17/2021

Similar Medicare Providers

1376365262 — WEISPHARMA LLC
Practice Location Address:

3030 CONGRESS PARK DR APT 322
LAKE WORTH, FL
33461-5243

Practice Phone: 717-930-3024
Practice Fax:

1265439103 — DR. TYLER ELLIOTT HARRIS M.D.
Practice Location Address:

2817 ROCK MERRITT AVE
FORT LIBERTY, NC
28310-5243

Practice Phone: 910-907-6784
Practice Fax:

1588977326 — MRS. ANDREA SALAZAR OPPER MS CCC-SLP
Practice Location Address:

5243 MCMURRY AVE
FORT COLLINS, CO
80525-5525

Practice Phone: 970-402-9589
Practice Fax:

1386647634 — ADVANCED NEUROLOGICAL SERVICES
Practice Location Address:

2755 ALTA MESA BLVD
FORT WORTH, TX
76133-5803

Practice Phone: 817-292-2208
Practice Fax: 817-292-8021

1932105418 — DR. BRYAN GREGORY CARTER DC
Practice Location Address:

7315 S HULEN ST
FORT WORTH, TX
76133-6616

Practice Phone: 817-346-0453
Practice Fax: 817-346-0967

1255337374 — DR. JOSEPH S. MCCREARY DDS
Practice Location Address:

6013 WEDGWOOD DR
FORT WORTH, TX
76133-2728

Practice Phone: 817-292-1442
Practice Fax:

Directions to “ CLAYTON KOTTER COOK DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.