Provider Demographics
NPI:1134395353
Name:COX, STANLEY COVINGTON JR (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:COVINGTON
Last Name:COX
Suffix:JR
Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:1627 TRYON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2942
Mailing Address - Country:US
Mailing Address - Phone:678-580-2286
Mailing Address - Fax:
Practice Address - Street 1:804 TOWN BLVD NE
Practice Address - Street 2:SUITE A2000
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-3147
Practice Address - Country:US
Practice Address - Phone:404-343-0677
Practice Address - Fax:404-343-0934
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN0131911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics