# BYRON L. COHEE,DDS,PC

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

## Provider details

- **NPI number:** 1720472392
- **Authorized official:** DR. BYRON LEON COHEE DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (765) 473-5959

## Contact information

- **Practice address:** 65 E 2ND ST, PERU, IN 46970-2266
- **Practice address phone:** (765) 473-5959
- **Practice address fax:** (765) 473-7511
- **Mailing address:** 65 E 2ND ST, P.O. BOX 11, PERU, IN 46970-2266
- **Mailing address phone:** (765) 473-5959
- **Mailing address fax:** (765) 473-7511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | IN12008206A | IN | Yes |

## Other

- **Enumeration date:** 03/23/2015
- **Last updated:** 03/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100179390A | — | IN |