Jodi L Cohen, D.D.S.
Individual provider Active NPI General Practice Dentistry · North Branford, CT
NPI 1124149232 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1124149232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7598 (CT)
- Practice address
- 337 Notch Hill Rd
North Branford, CT 06471-1826 - Phone
- (203) 488-6343
- Fax
- (203) 488-6185
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 1, 2015 through Jun 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Branford Dental Group PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7598 | CT | Yes |
Addresses
Primary practice location
337 Notch Hill Rd
North Branford, CT 06471-1826
Mailing address
PO Box 193
North Branford, CT 06471-0193
Phone (203) 488-6343
Other providers in North Branford, CT
- Branford North Branford Pediatrics,PC
- Heather Ann Buchetto
- Maria Cacace-Mele
- Jorge Luis Camejo II
- Jennifer M Carlson
- Renee Colangelo
- Alanna Coughlin
- Wayne Ernest Crossman
- Michael Andrew Czerniewski
- Jenna Marie Dearborne
All providers in North Branford, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.