Provider Demographics
NPI:1922552744
Name:COX, BEN TAYLOR (DMD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:TAYLOR
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 1:105 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-2237
Mailing Address - Country:US
Mailing Address - Phone:270-283-4790
Mailing Address - Fax:270-283-4864
Practice Address - Street 1:105 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-2237
Practice Address - Country:US
Practice Address - Phone:270-283-4790
Practice Address - Fax:270-283-4864
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY97611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice