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NPI Code Detail

MEDICARE: KENNETH MICHAEL COX DDS

MEDICARE: KENNETH MICHAEL COX 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
1122300000XDentist2884NV

General Provider Information

NPI Number : 1215961784
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH MICHAEL COX DDS
Provider Business Mailing Address
First Line : 9157 AMBER WAVES ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-5364
Country : US
Telephone Number : 700-273-5350
Fax Number :
Provider Business Practice Location Address
First Line : 6615 S EASTERN AVE STE 106
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-3926
Country : US
Telephone Number : 702-735-3506
Fax Number : 702-307-1124
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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Directions to “ KENNETH MICHAEL COX DDS” Practice Location

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