Individual
CHARLES COX III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1327 S BAXTER AVE, TYLER, TX 75701-3404
(903) 510-2341
Mailing address
PO BOX 9020, TYLER, TX 75711-9020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/31/2017
Last updated
10/31/2017
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