Provider Demographics
NPI:1467597526
Name:COX, DANIEL MERVYN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MERVYN
Last Name:COX
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 E 700 S STE 10A
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4036
Mailing Address - Country:US
Mailing Address - Phone:435-652-1212
Mailing Address - Fax:
Practice Address - Street 1:640 E 700 S STE 10A
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4036
Practice Address - Country:US
Practice Address - Phone:435-652-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT261352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist