Provider Demographics
NPI:1891050282
Name:COX, JAMISON STOUT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMISON
Middle Name:STOUT
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 1:736 S. 900 E. #105
Mailing Address - Street 2:
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7001
Mailing Address - Country:US
Mailing Address - Phone:435-673-2491
Mailing Address - Fax:435-673-7694
Practice Address - Street 1:736 S. 900 E. #105
Practice Address - Street 2:
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7001
Practice Address - Country:US
Practice Address - Phone:435-673-2491
Practice Address - Fax:435-673-7694
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8335608-9921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist