Provider Demographics
NPI:1033761168
Name:COX, SYDNEE (RDH)
Entity Type:Individual
Prefix:
First Name:SYDNEE
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 S BLUFF ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5236
Mailing Address - Country:US
Mailing Address - Phone:435-628-8885
Mailing Address - Fax:
Practice Address - Street 1:1150 S BLUFF ST STE 1
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5236
Practice Address - Country:US
Practice Address - Phone:435-628-8885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12348124Q00000X
UT12483837-9920124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist