MEDICARE: DR. DANIEL COHEN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	058543	NY
2	1223G0001X	General Practice Dentistry	DN22441	FL

General Provider Information

NPI Number	:	1548644511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL COHEN DDS

Provider Business Mailing Address
First Line	:	7522 WILES RD STE 104
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2056
Country	:	US
Telephone Number	:	908-217-1731
Fax Number	:

Provider Business Practice Location Address
First Line	:	7522 WILES RD STE 104
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2056
Country	:	US
Telephone Number	:	908-217-1731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2015
Last Update Date	:	02/19/2021

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