Provider Demographics
NPI:1568432052
Name:COX, SUSAN H (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:H
Last Name:COX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 US HIGHWAY 51 BYP W
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-1935
Mailing Address - Country:US
Mailing Address - Phone:731-286-1271
Mailing Address - Fax:731-286-1271
Practice Address - Street 1:95 US HIGHWAY 51 BYP W
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-1935
Practice Address - Country:US
Practice Address - Phone:731-286-1271
Practice Address - Fax:731-286-0019
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN007451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry