Robert Ralph Cohen, D.M.D
Individual provider Active NPI General Practice Dentistry · Southport, CT
NPI 1285708081 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285708081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 008752 (CT)
- Practice address
- 8 John St
Southport, CT 06890-1437 - Phone
- (203) 219-1300
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008752 | CT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 008752 | CT | Yes |
Addresses
Primary practice location
8 John St
Southport, CT 06890-1437
Mailing address
28 Marie CT
Wappingers Falls, NY 12590-6518
Phone (845) 227-7331
Other providers in Southport, CT
- Stacey L Casparius
- Bradford Stephen Chervin
- Noah Stephen Citsay
- Jacalyn Clark
- Coastal Connecticut Counseling LLC
- Connecticut Plastic Surgery Group, LLC
- Cortex Health PLLC
- Cpdental, PLLC
- David L. Curtis
- Josef Davidov
All providers in Southport, 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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.