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Organization

BLAIR E. COHEN DDS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BLAIR ELIZABETH COHEN DDS (OWNER)
(865) 475-7901
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114288438
TN
Enumeration date
02/23/2023
Last updated
02/23/2023
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