Organization
DEERPATH DENTAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TODD COHEN D.D.S. (PRESIDENT)
(847) 680-7171
Entity
Organization
Contact information
Practice address
10 W PHILLIP RD, SUITE 105, VERNON HILLS, IL 60061-1799
(847) 680-7171
Mailing address
10 W PHILLIP RD, SUITE 105, VERNON HILLS, IL 60061-1799
(847) 680-7171
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
IL
1223P0300X
Periodontics
—
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
10/12/2006
Last updated
09/11/2025
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