Provider Demographics
NPI:1225419401
Name:COX, NICHOLAS ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ROBERT
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 1:3105 W 15TH ST
Mailing Address - Street 2:SUITE A1
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7700
Mailing Address - Country:US
Mailing Address - Phone:817-706-0889
Mailing Address - Fax:
Practice Address - Street 1:3105 W 15TH ST
Practice Address - Street 2:SUITE A1
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7700
Practice Address - Country:US
Practice Address - Phone:817-706-0889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-14
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist