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Organization
MICHAEL R. COX D.D.S. P.L.L.C.
Active
Organization
MICHAEL R. COX D.D.S. P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STEFANIE PHILLENA GROGG (OFFICE MANAGER)
(304) 485-7717
Entity
Organization
Contact information
Practice address
3705 EMERSON AVE., PARKERSBURG, WV 26104
(304) 485-7717
(304) 428-4755
Mailing address
3705 EMERSON AVE, PARKERSBURG, WV 26104-1118
(304) 485-7717
(304) 428-4755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4123
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001464019
BLUE CROSS BLUE SHIELD
—
05
—
4004033-000
—
WV
Enumeration date
03/29/2017
Last updated
03/29/2017
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