Provider Demographics
NPI:1083679229
Name:WILLIAM COX DENTAL CORPORATION
Entity Type:Organization
Organization Name:WILLIAM COX DENTAL CORPORATION
Other - Org Name:GENTLE DENTAL SAN FRANCISCO
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 1:9800 S LA CIENEGA BLVD
Mailing Address - Street 2:STE 899, ROOM 1
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4440
Mailing Address - Country:US
Mailing Address - Phone:415-921-6722
Mailing Address - Fax:415-921-6737
Practice Address - Street 1:2364 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3305
Practice Address - Country:US
Practice Address - Phone:415-921-6722
Practice Address - Fax:415-921-6737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty