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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5266 N Eagle Rd
Boise, ID 83713-0945
Phone: (208) 939-4242
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address5266 N Eagle Rd, Boise, ID 83713-0945

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

Other providers in Boise