Kenneth P. Cox, D.D.S.
Individual provider Active NPI General Practice Dentistry · Cary, IL
NPI 1295949535 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295949535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019019858 (IL)
- Practice address
- 415 Crystal St
Cary, IL 60013-2035 - Phone
- (847) 516-1100
- Fax
- (847) 516-1103
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019019858 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Dental Associates, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019019858 | IL | Yes |
Addresses
Primary practice location
415 Crystal St
Cary, IL 60013-2035
Mailing address
415 Crystal St
Cary, IL 60013-2035
Phone (847) 516-1100
Other providers in Cary, IL
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- Core Values Personal and Professional Development LLC,
- Cornerstone Counseling
- Craig E Cowles
- Katarina Sarah Crause
- Crossing the Spectrum, LLC
- Peggy Sue Crow
- Suzanne Cruz
- Kaleigh Cunningham
All providers in Cary, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.