Provider Demographics
NPI:1740409549
Name:COX, DAVID HAROLD (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HAROLD
Last Name:COX
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 1:204 WHIPPLE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-1114
Mailing Address - Country:US
Mailing Address - Phone:810-231-4800
Mailing Address - Fax:248-437-2766
Practice Address - Street 1:204 WHIPPLE ST
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-1114
Practice Address - Country:US
Practice Address - Phone:810-231-4800
Practice Address - Fax:248-437-2766
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI15243122300000X
MI015243122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist