Provider Demographics
NPI:1609131366
Name:ADCOX, JOSHUA DARRELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DARRELL
Last Name:ADCOX
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 1:534 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-5620
Mailing Address - Country:US
Mailing Address - Phone:480-388-1661
Mailing Address - Fax:
Practice Address - Street 1:2113 SW H K DODGEN LOOP
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1849
Practice Address - Country:US
Practice Address - Phone:480-388-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA613601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice