Provider Demographics
NPI:1861385221
Name:COOK, HAYDEN TODD (DDS)
Entity type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:TODD
Last Name:COOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S GENEVA RD UNIT E203
Mailing Address - Street 2:
Mailing Address - City:VINEYARD
Mailing Address - State:UT
Mailing Address - Zip Code:84059-5446
Mailing Address - Country:US
Mailing Address - Phone:970-570-9360
Mailing Address - Fax:
Practice Address - Street 1:238 E STATE RD STE 2
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3621
Practice Address - Country:US
Practice Address - Phone:801-796-7779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14216371-99261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice