Jeffrey S. Cohen DDS PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

JC07120 Issued in MI

Legal business name

JEFFREY S. COHEN DDS PC

Doing business as

Lakes Oral and Maxillofacial Surgery PC

Practice address

2300 Haggerty Rd
Suite 2030
West Bloomfield, MI 48323-2184

Phone

(248) 669-6600

Fax

(248) 669-6606

NPI assigned

Jul 2, 2008

Last updated

May 16, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cynthia Louise Fetter

Title

Front Office Supervisor

Phone

(248) 669-6600

Specialties & licenses 1

Addresses

Other names 1

• Lakes Oral and Maxillofacial Surgery PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devonn Eli Israil, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • West Bloomfield, MI
  • NPI 1932725959
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1922261783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2030",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-6600",
            "fax_number": "248-669-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2030",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-6600",
            "fax_number": "248-669-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. COHEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "FETTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "FRONT OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "248-669-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "JC07120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakes Oral and Maxillofacial Surgery PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Artiesha Jarrett, RN
• Asma Javed
• Barry Jay, PH.D.
• Jeffrey E. Fantich, DC, PLC
• Jeffrey G Obron PLLC
• Jeffrey Tulin Silver MD PC
• Jeffrey Weinfeld DDS
• Renee Frances Jenkinson, NP
• Charles Jennings, LPC
• Nadine S Jennings, M.D.

• Specialist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.