# COHEN DENTAL STUDIO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336651082
- **Authorized official:** DR. NEIL D COHEN DMD (PRESIDENT)
- **Authorized official phone:** (239) 351-2000

## Contact information

- **Practice address:** 700 2ND AVE N STE 303, NAPLES, FL 34102-5702
- **Practice address phone:** (239) 351-2000
- **Practice address fax:** (239) 351-1880
- **Mailing address:** 700 2ND AVE N STE 303, NAPLES, FL 34102-5702
- **Mailing address phone:** (239) 351-2000
- **Mailing address fax:** (239) 351-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0300X | Periodontics | DN16843 | FL | — |
| 1223P0700X | Prosthodontics | DN20441 | FL | Yes |

## Other

- **Enumeration date:** 11/02/2017
- **Last updated:** 11/02/2017
