Provider Demographics
NPI:1144776014
Name:COX AND WALKER DENTISTRY PLLC
Entity Type:Organization
Organization Name:COX AND WALKER DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-546-0625
Mailing Address - Street 1:1516 COLEMAN RD STE 205
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3809
Mailing Address - Country:US
Mailing Address - Phone:865-546-0625
Mailing Address - Fax:865-546-7177
Practice Address - Street 1:1516 COLEMAN RD STE 205
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3809
Practice Address - Country:US
Practice Address - Phone:865-546-0625
Practice Address - Fax:865-546-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47861223G0001X
TN94641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1427049618OtherINDIVIDUAL NPI FOR LAURA COX
1396007811OtherINDIVIDUAL NPI FOR SARAH WALKER