Provider Demographics
NPI:1386656098
Name:COX, THOMAS U (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:U
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 1:3250 N TOWERBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-8347
Mailing Address - Country:US
Mailing Address - Phone:208-898-9355
Mailing Address - Fax:208-898-9363
Practice Address - Street 1:3250 N TOWERBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8347
Practice Address - Country:US
Practice Address - Phone:208-898-9355
Practice Address - Fax:208-898-9363
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD3195122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist