Provider Demographics
NPI:1295875268
Name:COX, ROBIN R (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:R
Last Name:COX
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:388 COMMONWEALTH AVE
Mailing Address - Street 2:UNIT B3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-2800
Mailing Address - Country:US
Mailing Address - Phone:617-266-6064
Mailing Address - Fax:617-507-5631
Practice Address - Street 1:388 COMMONWEALTH AVE
Practice Address - Street 2:UNIT B3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-2800
Practice Address - Country:US
Practice Address - Phone:617-266-6064
Practice Address - Fax:617-507-5631
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2013-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA11448122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0297976Medicaid