Provider Demographics
NPI:1992818447
Name:COX, WILLIAM EDWIN III (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:EDWIN
Last Name:COX
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428
Mailing Address - Country:US
Mailing Address - Phone:850-638-4708
Mailing Address - Fax:850-638-7358
Practice Address - Street 1:699 2ND ST
Practice Address - Street 2:
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428
Practice Address - Country:US
Practice Address - Phone:850-638-4708
Practice Address - Fax:850-638-7358
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN5115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist