Individual
DR. JEFFREY S. COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 HAGGERTY RD, SUITE 2030, WEST BLOOMFIELD, MI 48323-2184
(248) 669-6600
(248) 669-6606
Mailing address
2300 HAGGERTY RD, SUITE 2030, WEST BLOOMFIELD, MI 48323-2184
(248) 669-6600
(248) 669-6606
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
017120
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1781844
UNITED CONCRODIA
MI
01
—
5501140
BLUE CARE NETWORK
MI
01
—
9756312600
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/03/2006
Last updated
07/08/2007
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