Provider Demographics
NPI:1770518086
Name:COX, RONALD M (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:M
Last Name:COX
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 WILLIAMSON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5945
Mailing Address - Country:US
Mailing Address - Phone:704-964-6404
Mailing Address - Fax:980-475-0144
Practice Address - Street 1:367 WILLIAMSON RD STE 102
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5945
Practice Address - Country:US
Practice Address - Phone:704-964-6404
Practice Address - Fax:704-263-8184
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC68101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice