Individual
BRADLEY COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3115 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5235
(618) 969-8600
(618) 997-8978
Mailing address
109 CALIFORNIA STREET, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030878
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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