Individual
DR. CHARLES WILLIAM COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5005 S 84TH ST, RALSTON, NE 68127-2699
(402) 339-3519
(402) 339-8104
Mailing address
5005 S 84TH ST, RALSTON, NE 68127-2699
(402) 339-3519
(402) 339-8104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4799
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470617184-00
—
NE
01
—
NE005420
BLUE CROSS BLUE SHIELD
NE
Enumeration date
08/16/2006
Last updated
07/09/2007
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