Provider Demographics
NPI:1003088980
Name:DONELSON ORAL SURGERY
Entity Type:Organization
Organization Name:DONELSON ORAL SURGERY
Other - Org Name:DR. DONALD COX D.D.S.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-889-7835
Mailing Address - Street 1:5651 FRIST BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2057
Mailing Address - Country:US
Mailing Address - Phone:615-889-7835
Mailing Address - Fax:615-889-7837
Practice Address - Street 1:5651 FRIST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2057
Practice Address - Country:US
Practice Address - Phone:615-889-7835
Practice Address - Fax:615-889-7837
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DONELSON ORAL SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS20101223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT73887Medicare UPIN