Individual
MR. TOMMY LESTER COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
87 STATELINE RD E, SOUTHAVEN, MS 38671
(662) 342-4838
(662) 342-0739
Mailing address
PO BOX 1328, SOUTHAVEN, MS 38671
(662) 342-4838
(662) 342-0739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2070 84
MS
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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