Healthcare Provider Details

I. General information

NPI: 1851968762
Provider Name (Legal Business Name): R. COHEN AND G. ABRAMS III PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 ARBOR CREEK DR STE D1
CHARLOTTE NC
28269-0548
US

IV. Provider business mailing address

8631 ARBOR CREEK DR STE D1
CHARLOTTE NC
28269-0548
US

V. Phone/Fax

Practice location:
  • Phone: 704-876-5222
  • Fax:
Mailing address:
  • Phone: 704-876-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFF COHEN
Title or Position: COO
Credential:
Phone: 704-246-8971