Provider Demographics
NPI:1699373498
Name:COX, EMMALEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:EMMALEIGH
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:EMMALEIGH
Other - Middle Name:
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:18323 98TH AVE NE STE 4
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3358
Mailing Address - Country:US
Mailing Address - Phone:206-915-5286
Mailing Address - Fax:
Practice Address - Street 1:18323 98TH AVE NE STE 4
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3358
Practice Address - Country:US
Practice Address - Phone:425-485-8292
Practice Address - Fax:425-485-5732
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61084945122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist