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NPI Code Detail

MEDICARE: DR. J COTTON DDS

MEDICARE:  DR. J  COTTON  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry33540TX

General Provider Information

NPI Number : 1831618701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J COTTON DDS
Provider Business Mailing Address
First Line : 5225 MAPLE AVE APT 3407
Second Line :
City : DALLAS
State : TX
Zip : 75235-8447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7410 MCCART AVE
Second Line :
City : FT WORTH
State : TX
Zip : 76133-7428
Country : US
Telephone Number : 817-529-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 09/12/2017

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Directions to “ DR. J COTTON DDS” Practice Location

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