Provider Demographics
NPI:1174631592
Name:COX, GERALD F JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:F
Last Name:COX
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 HULEN ST.
Mailing Address - Street 2:SUITE 630
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107
Mailing Address - Country:US
Mailing Address - Phone:817-336-8833
Mailing Address - Fax:817-336-0583
Practice Address - Street 1:3880 HULEN ST.
Practice Address - Street 2:SUITE 630
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107
Practice Address - Country:US
Practice Address - Phone:817-336-8833
Practice Address - Fax:817-336-0583
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice