Provider Demographics
NPI:1194843656
Name:LEWIS G COX, DDS, PA
Entity Type:Organization
Organization Name:LEWIS G COX, DDS, PA
Other - Org Name:COX AND DELEE DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:501-767-9329
Mailing Address - Street 1:1629 AIRPORT RD
Mailing Address - Street 2:STE A
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7951
Mailing Address - Country:US
Mailing Address - Phone:501-767-9329
Mailing Address - Fax:501-767-9365
Practice Address - Street 1:1629 AIRPORT RD
Practice Address - Street 2:STE A
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7951
Practice Address - Country:US
Practice Address - Phone:501-767-9329
Practice Address - Fax:501-767-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR25961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR58696OtherBCBS
AR839670OtherUNITED CONCORDIA
ART20469Medicare UPIN