Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaden Cook

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1205410594

Jaden Cook is an Oral Surgery in Boise, Idaho. Graduated from Vanderbilt University School of Medicine in 2025, 1 year ago. Practices with McKenzie Oral and Facial Surgery PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho and Tennessee.

Years since qualifying
1
Trained at
Vanderbilt University School of Medicine
Licensed in
ID, TN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

5266 N Eagle Rd
Boise, ID 83713-0945
Phone: (208) 939-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 9481505 (ID)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 12074 (TN)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 12074 (TN)

Record details

NPI number1205410594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice McKenzie Oral And Facial Surgery Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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