Provider Demographics
NPI:1033306949
Name:COX, ALISON B (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:B
Last Name:COX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 BOSTON RD
Mailing Address - Street 2:SUITE 134
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1569
Mailing Address - Country:US
Mailing Address - Phone:859-223-7300
Mailing Address - Fax:859-223-1122
Practice Address - Street 1:3650 BOSTON RD
Practice Address - Street 2:SUITE 134
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1569
Practice Address - Country:US
Practice Address - Phone:859-223-7300
Practice Address - Fax:859-223-1122
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8446122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100018490Medicaid