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General NPI Number Information
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NPI Number | 1396910550
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Entity Type | Organization
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Legal Business Name | MATTHEW COHLMIA, D.D.S., INC. P.C.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 3727 NW 63RD ST SUITE 310
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1931
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Country | US
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Telephone | 405-848-3783
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Fax | 405-848-4088
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Provider Business Mailing Address
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Address Line | 3727 NW 63RD ST SUITE 310
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1931
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Country | US
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Telephone | 405-848-3783
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Fax | 405-848-4088
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MATTHEW E. COHLMIA
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Credential | D.D.S.
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Telephone | 405-848-3783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5048
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License Number State | OK
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