Blair E. Cohen DDS, PLLC

Organization Active NPI General Practice Dentistry · Jefferson City, TN

NPI 1396444865 · NPPES record last updated Feb 23, 2023

Key facts

NPI
1396444865
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
BLAIR E. COHEN DDS, PLLC
Practice address
735 E Broadway Blvd
Jefferson City, TN 37760-4907
Phone
(865) 475-7901
NPI assigned
Feb 23, 2023
Organization subpart
No

Authorized official

Name
Dr. Blair Elizabeth Cohen, DDS
Title
Owner
Phone
(865) 475-7901

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

735 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 475-7901

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

735 E Broadway Blvd
Jefferson City, TN 37760-4907

Mailing address

735 E Broadway Blvd
Jefferson City, TN 37760-4907

Other identifiers

IdentifierTypeStateIssuer
1114288438MedicaidTN

Other providers in Jefferson City, TN

All providers in Jefferson City, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.