Provider Demographics
NPI:1689718025
Name:DR. WILLARD B. COX AND DR. MARK D. GREENSTEIN, PA
Entity Type:Organization
Organization Name:DR. WILLARD B. COX AND DR. MARK D. GREENSTEIN, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GREENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:301-868-7228
Mailing Address - Street 1:7905 MALCOLM RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1709
Mailing Address - Country:US
Mailing Address - Phone:301-868-7228
Mailing Address - Fax:301-868-1363
Practice Address - Street 1:7905 MALCOLM RD STE 104
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1709
Practice Address - Country:US
Practice Address - Phone:301-868-7228
Practice Address - Fax:301-868-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMD91941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty