| Michael R. Cox D.d.s. P.l.l.c. | |
|
3705 Emerson Ave. Parkersburg WV 26104 | |
| (304) 485-7717 | |
| (304) 428-4755 |
| Full Name | Michael R. Cox D.d.s. P.l.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 3705 Emerson Ave., Parkersburg, West Virginia |
| Authorized Official Name and Position | Stefanie Phillena Grogg (OFFICE MANAGER) |
| Authorized Official Contact | 3044857717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Cox D.d.s. P.l.l.c. 3705 Emerson Ave Parkersburg WV 26104-1118 Ph: (304) 485-7717 | Michael R. Cox D.d.s. P.l.l.c. 3705 Emerson Ave. Parkersburg WV 26104 Ph: (304) 485-7717 |
| NPI Number | 1588196596 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588196596 | NPI | - | NPPES |
| 4004033-000 | Medicaid | WV | |
| 001464019 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4123 (West Virginia) | Primary |
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