NPI age
12 years
Enumerated 2014-05-19
● Active Type 2 · Organization
Subpart
Cook Childrens Physician Network
Cook Childrens Physician Network is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dzurik
President, Ccpn
Last NPPES update
2021-06-29
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
12 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2600 E Berry Street
Fort Worth, TX 761054750
Mailing address
Po Box 732669
Dallas, TX 753732669
Authorized official
Matthew V Dzurik, MD
President, Ccpn
📞 6828851416
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1404428A9 | DE1 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Cook Children's Dental
-
Cook Children's Dental
Practice context
Single-site organization. Only one practice location on file.
Subpart of Cook Childrens Physician Network.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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