Provider Demographics
NPI:1184845232
Name:FOX, HENRY PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:PAUL
Last Name:FOX
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 1:3100 SHAY ROAD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:NY
Mailing Address - Zip Code:14512
Mailing Address - Country:US
Mailing Address - Phone:585-554-4069
Mailing Address - Fax:
Practice Address - Street 1:15 CANAL ROAD
Practice Address - Street 2:
Practice Address - City:PELHAM MANOR
Practice Address - State:NY
Practice Address - Zip Code:00108
Practice Address - Country:US
Practice Address - Phone:180-054-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0123178-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice