Allen B. Cox Jr., D.D.S.
Individual provider Active NPI General Practice Dentistry · Gualala, CA
NPI 1982808119 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982808119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 29926 (CA)
- Practice address
- 38460 S. Highway One
Gualala, CA 95445-1199 - Phone
- (707) 884-3738
- Fax
- (707) 884-4946
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222000241 | CA | Order and Referring Only - Dentist |
7517268238 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29926 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29926 | CA | Yes |
Addresses
Primary practice location
38460 S. Highway One
Gualala, CA 95445-1199
Mailing address
PO Box 1199
Gualala, CA 95445-1199
Phone (707) 884-3738
Other providers in Gualala, CA
- Heather Bergeron
- Carolee Brady
- Joanne C. Brooks
- Jenifer Burkett
- Coast Life Support District
- Gena Lynn Davis
- Lois Falk
- Laura B Franklin
- Olaf Kristian Golubjatnikov
- Gualala Pharmacy, Inc.
All providers in Gualala, CA · General Practice Dentistry in California
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.