Jessica Holt Cox, DDS,MSD

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Hernando, MS

NPI 1104156124 · NPPES record last updated Jan 14, 2010

Key facts

NPI
1104156124
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
3510-09 (MS)
Practice address
2631 McIngvale Rd
Suite 131
Hernando, MS 38632-5934
Phone
(662) 429-8022
Fax
(662) 449-3175
NPI assigned
Jan 14, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3510-09MSMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3510-09 MS Yes

Addresses

Primary practice location

2631 McIngvale Rd
Suite 131
Hernando, MS 38632-5934

Mailing address

2631 McIngvale Rd
Suite 131
Hernando, MS 38632-5934
Phone (662) 429-8022

Other providers in Hernando, MS

All providers in Hernando, MS · Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.