Provider Demographics
NPI:1821262692
Name:COX, ADAM ZACHARY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ZACHARY
Last Name:COX
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 HIGHWAY 78 E
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-3957
Mailing Address - Country:US
Mailing Address - Phone:205-384-4000
Mailing Address - Fax:205-302-6487
Practice Address - Street 1:914 HIGHWAY 78 E
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-3957
Practice Address - Country:US
Practice Address - Phone:205-384-4000
Practice Address - Fax:205-302-6487
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL55551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice