Individual
DAVID PAUL COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
477542 HWY 95 N, PONDERAY, ID 83852
(208) 263-1905
(208) 255-1906
Mailing address
477542 US 95, PONDERAY, ID, ID 83852
(208) 263-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3127
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806590100
—
ID
Enumeration date
08/31/2006
Last updated
05/23/2024
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