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Organization
BLAIR E. COHEN DDS, PLLC
Active
Organization
BLAIR E. COHEN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIR ELIZABETH COHEN DDS (OWNER)
(865) 475-7901
Entity
Organization
Contact information
Practice address
735 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4907
(865) 475-7901
Mailing address
735 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114288438
—
TN
Enumeration date
02/23/2023
Last updated
02/23/2023
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