Provider Demographics
NPI:1073603981
Name:MANNING COX, GEORGETTA MEREDITH (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:GEORGETTA
Middle Name:MEREDITH
Last Name:MANNING COX
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 ROXANNA RD, NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:202-249-1429
Mailing Address - Fax:
Practice Address - Street 1:1301 MASSACHUSETTS AVE NW
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4162
Practice Address - Country:US
Practice Address - Phone:202-249-1429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC32121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice