Provider Demographics
NPI:1407898091
Name:WILLIAM COX DENTAL CORPORATION
Entity Type:Organization
Organization Name:WILLIAM COX DENTAL CORPORATION
Other - Org Name:GENTLE DENTAL PALO ALTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PC OWNER/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 1:9800 S LA CIENEGA BLVD
Mailing Address - Street 2:STE 899, ROOM 1
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4440
Mailing Address - Country:US
Mailing Address - Phone:800-684-6440
Mailing Address - Fax:360-449-5715
Practice Address - Street 1:853 MIDDLEFIELD RD
Practice Address - Street 2:STE 1
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2920
Practice Address - Country:US
Practice Address - Phone:650-813-9800
Practice Address - Fax:650-813-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty