Provider Demographics
NPI:1184076390
Name:COX, ALLIE CHRISTINE (DDS)
Entity type:Individual
Prefix:
First Name:ALLIE
Middle Name:CHRISTINE
Last Name:COX
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ALLIE
Other - Middle Name:CHRISTINE
Other - Last Name:CEARLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3105 W 15TH ST
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7700
Mailing Address - Country:US
Mailing Address - Phone:972-948-0057
Mailing Address - Fax:
Practice Address - Street 1:5110 MAIN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-2968
Practice Address - Country:US
Practice Address - Phone:972-905-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31897122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist