Organization
BLAIR E. COHEN, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIR E COHEN DDS (OWNER/MEMBER)
(865) 475-7901
Entity
Organization
Contact information
Practice address
156 W BROADWAY BLVD, JEFFERSON CITY, TN 37760-1998
(865) 475-7901
Mailing address
156 W BROADWAY BLVD, JEFFERSON CITY, TN 37760-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS9409
TN
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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