Provider Demographics
NPI:1235343252
Name:WILLIAM COX DENTAL CORPORATION
Entity Type:Organization
Organization Name:WILLIAM COX DENTAL CORPORATION
Other - Org Name:GENTLE DENTAL PANAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:800-684-6440
Mailing Address - Street 1:1101 SE TECH CENTER DRIVE
Mailing Address - Street 2:STE 195
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5511
Mailing Address - Country:US
Mailing Address - Phone:360-869-7645
Mailing Address - Fax:866-227-5633
Practice Address - Street 1:3150 PANAMA LANE
Practice Address - Street 2:SUITE I
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-3730
Practice Address - Country:US
Practice Address - Phone:661-396-0156
Practice Address - Fax:661-396-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty