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NPI Code Detail

MEDICARE: DR. KENNETH SAUL COHEN DDS

MEDICARE:  DR. KENNETH SAUL 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
11223G0001XGeneral Practice Dentistry8483GA

General Provider Information

NPI Number : 1558584128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH SAUL COHEN DDS
Provider Business Mailing Address
First Line : 6595 ROSWELL RD NE
Second Line : SUITE C
City : ATLANTA
State : GA
Zip : 30328-3152
Country : US
Telephone Number : 404-255-2252
Fax Number : 404-255-2282
Provider Business Practice Location Address
First Line : 6595 ROSWELL RD NE
Second Line : SUITE C
City : ATLANTA
State : GA
Zip : 30328-3152
Country : US
Telephone Number : 404-255-2252
Fax Number : 404-255-2282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KENNETH SAUL COHEN DDS” Practice Location

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