Provider Demographics
NPI:1629369525
Name:COX, KRISTA ANNE (DMD)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:ANNE
Last Name:COX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:COX
Other - Last Name:HINCHEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:4849 PAULSEN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4424
Mailing Address - Country:US
Mailing Address - Phone:912-298-5437
Mailing Address - Fax:912-298-5438
Practice Address - Street 1:4849 PAULSEN ST STE 101
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4424
Practice Address - Country:US
Practice Address - Phone:912-298-5437
Practice Address - Fax:912-298-5438
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA143131223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry