Doctor Name: | DR. SAMANTHA TAYLOR COX |
NPI Number: | 1689994824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.D.S. |
License Number: | |
Business Practice Address: | 12455 W Capitol Dr Unit E Brookfield, WI - 530052461 |
Business Phone Number: | 2627921100 |
Business Fax Number: | 2627901261 |
Mailing Address: | 12455 W Capitol Dr, Unit E BROOKFIELD |
State: | WI |
Postal Code: | 530052461 |
Phone Number: | 2627921100 |
Fax Number: | 2627901261 |
NPI Enumeration Date: | 06/10/2010 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |