Individual provider · NPI-1
Dr. Dennis Neal Cohen, D.M.D
Dentist · Gardner, MA
NPI number1679693113
StatusActive
Last updated in NPPESAug 18, 2015
Details
- NPI
- 1679693113
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dennis Neal Cohen
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Aug 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12373 | MA | Yes |
Practice location
175 Connors StreetGardner, MA 01440
Phone 978-410-6100 · Fax 978-410-6176
Mailing address
326 Nichols RoadFitchburg, MA 01420
Phone 978-878-8516 · Fax 978-878-8418
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