Provider Demographics
NPI:1386931624
Name:COX, LAUREN MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MICHELLE
Last Name:COX
Suffix:
Gender:F
Credentials:DDS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4864 ARTHUR KILL RD
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2650
Mailing Address - Country:US
Mailing Address - Phone:718-356-5437
Mailing Address - Fax:
Practice Address - Street 1:4864 ARTHUR KILL RD
Practice Address - Street 2:4TH FLOOR
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2650
Practice Address - Country:US
Practice Address - Phone:718-356-5437
Practice Address - Fax:718-356-9810
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY055549-11223P0221X
CT0110161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry