# BLAIR E. COHEN DDS, PLLC

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

## Provider details

- **NPI number:** 1396444865
- **Authorized official:** DR. BLAIR ELIZABETH COHEN DDS (OWNER)
- **Authorized official phone:** (865) 475-7901

## Contact information

- **Practice address:** 735 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4907
- **Practice address phone:** (865) 475-7901
- **Mailing address:** 735 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-4907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2023
- **Last updated:** 02/23/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114288438 | — | TN |