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NPI Code Detail

MEDICARE: DR. ROBERT G COX DDS

MEDICARE:  DR. ROBERT G 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
1390200000XStudent in an Organized Health Care Education/Training Program
21223P0221XPediatric DentistryD010268AZ

General Provider Information

NPI Number : 1407389869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT G COX DDS
Provider Business Mailing Address
First Line : 15225 N 20TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-4053
Country : US
Telephone Number : 810-280-7112
Fax Number :
Provider Business Practice Location Address
First Line : 5940 W UNION HILLS DR STE B190
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1359
Country : US
Telephone Number : 602-314-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 09/03/2021

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