Provider Demographics
NPI:1588971709
Name:COX/ BOND DENTAL, LLP
Entity type:Organization
Organization Name:COX/ BOND DENTAL, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:254-778-1893
Mailing Address - Street 1:3010 SCOTT BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6800
Mailing Address - Country:US
Mailing Address - Phone:254-778-1893
Mailing Address - Fax:254-778-1316
Practice Address - Street 1:3010 SCOTT BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6800
Practice Address - Country:US
Practice Address - Phone:254-778-1893
Practice Address - Fax:254-778-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty