Rick D. Cox, DMD
Individual provider Active NPI Dentist · Columbia, IL
NPI 1376866764 · NPPES record last updated Mar 12, 2010
Key facts
- NPI
- 1376866764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019028068 (IL)
- Practice address
- 240 Southwoods Ctr
Columbia, IL 62236-2462 - Phone
- (618) 281-9888
- Fax
- (618) 281-9889
- NPI assigned
- Mar 12, 2010
- 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 |
|---|---|---|---|
| 019028068 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Illinois, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019028068 | IL | Yes |
Addresses
Primary practice location
240 Southwoods Ctr
Columbia, IL 62236-2462
Mailing address
240 Southwoods Ctr
Columbia, IL 62236-2462
Phone (618) 281-9888
Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2010. 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.