Provider Demographics
NPI:1073775334
Name:COHEN, FREYDA B (DMD)
Entity Type:Individual
Prefix:DR
First Name:FREYDA
Middle Name:B
Last Name:COHEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3303
Mailing Address - Country:US
Mailing Address - Phone:561-964-2002
Mailing Address - Fax:561-964-9606
Practice Address - Street 1:3472 FOREST HILL BLVD
Practice Address - Street 2:#3A
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5864
Practice Address - Country:US
Practice Address - Phone:561-964-2002
Practice Address - Fax:561-964-9606
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02373600122300000X
NY053994-1122300000X
FLDN19277122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist