Provider Demographics
NPI:1174688006
Name:COX, WILLARD BRANIT (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLARD
Middle Name:BRANIT
Last Name:COX
Suffix:
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 1:7905 MALCOLM RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1734
Mailing Address - Country:US
Mailing Address - Phone:301-868-7228
Mailing Address - Fax:301-868-1363
Practice Address - Street 1:7905 MALCOLM RD
Practice Address - Street 2:SUITE 104
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1734
Practice Address - Country:US
Practice Address - Phone:301-868-7228
Practice Address - Fax:301-868-1363
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD61381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice