Provider Demographics
NPI:1992912158
Name:J SCOTT DUFF III DDS AND ROBERT Y COX DDS, LTD
Entity type:Organization
Organization Name:J SCOTT DUFF III DDS AND ROBERT Y COX DDS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:Y
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-355-3100
Mailing Address - Street 1:4909 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1649
Mailing Address - Country:US
Mailing Address - Phone:804-355-3100
Mailing Address - Fax:804-355-0077
Practice Address - Street 1:4909 GROVE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1649
Practice Address - Country:US
Practice Address - Phone:804-355-3100
Practice Address - Fax:804-355-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010063751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty