Provider Demographics
NPI:1033147608
Name:WILLIAM COX DENTAL GROUP
Entity Type:Organization
Organization Name:WILLIAM COX DENTAL GROUP
Other - Org Name:GENTLE DENTAL ROCKLIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PC OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:800-684-6440
Mailing Address - Street 1:1101 SE TECH CENTER DR STE 195
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5511
Mailing Address - Country:US
Mailing Address - Phone:360-869-7645
Mailing Address - Fax:866-227-5633
Practice Address - Street 1:6000 FAIRWAY DR
Practice Address - Street 2:SUITE 16
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-4244
Practice Address - Country:US
Practice Address - Phone:916-632-2000
Practice Address - Fax:916-632-3225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty