Byron Leon Cohee, DDS
Individual provider Active NPI General Practice Dentistry · Peru, IN
NPI 1861580896 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861580896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12008206A (IN)
- Practice address
- 65 E 2ND St
Peru, IN 46970-2266 - Phone
- (765) 473-5959
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 12008206A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byron L. Cohee,DDS,PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12008206A | IN | Yes |
Addresses
Primary practice location
65 E 2ND St
Peru, IN 46970-2266
Mailing address
65 E 2ND St
P.O. Box 11
Peru, IN 46970-2266
Phone (765) 473-5959
Other providers in Peru, IN
- Certified Surgeons, Inc.
- Chatterbox Speech Therapy LLC
- City of Peru
- Clear Tones Hearing
- Stephen R Clingman
- Ann Virae Collie
- Christopher Thomas Collie
- Kelley Leigh Collins
- Lisa Comerford
- Shannon Marie Conklin
All providers in Peru, IN · General Practice Dentistry in Indiana
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.