Provider Demographics
NPI:1124306691
Name:COX, YANINA A (DMD)
Entity type:Individual
Prefix:MRS
First Name:YANINA
Middle Name:A
Last Name:COX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MS
Other - First Name:YANINA
Other - Middle Name:A
Other - Last Name:SUSKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:103A REGENCY COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5210
Mailing Address - Country:US
Mailing Address - Phone:864-801-8877
Mailing Address - Fax:864-801-8897
Practice Address - Street 1:103A REGENCY COMMONS DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-5210
Practice Address - Country:US
Practice Address - Phone:864-801-8877
Practice Address - Fax:864-801-8897
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice