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Organization
KENNETH A. COHEN AND ANN S. JAMIESON,DDS,PA
Active
Organization
KENNETH A. COHEN AND ANN S. JAMIESON,DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON A GOULISH (OFFICE MANAGER)
(813) 855-1007
Entity
Organization
Contact information
Practice address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
(813) 855-1009
Mailing address
190 PINE AVE N, OLDSMAR, FL 34677-4629
(813) 855-1007
(813) 855-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10076
FL
1223G0001X
General Practice Dentistry
Primary
10264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60538
BLUE CROSS BLUE SHIELD PR
FL
01
—
67155
BLUE CROSS BLUE SHIELD PR
FL
Enumeration date
07/15/2006
Last updated
08/22/2020
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