# MICHAEL R. COX D.D.S. P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588196596
- **Authorized official:** MISS STEFANIE PHILLENA GROGG (OFFICE MANAGER)
- **Authorized official phone:** (304) 485-7717

## Contact information

- **Practice address:** 3705 EMERSON AVE., PARKERSBURG, WV 26104
- **Practice address phone:** (304) 485-7717
- **Practice address fax:** (304) 428-4755
- **Mailing address:** 3705 EMERSON AVE, PARKERSBURG, WV 26104-1118
- **Mailing address phone:** (304) 485-7717
- **Mailing address fax:** (304) 428-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4123 | WV | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001464019 | BLUE CROSS BLUE SHIELD | — |
| 05 | — | 4004033-000 | — | WV |