Provider Demographics
NPI:1093827693
Name:COHLMIA, GREGORY THOMAS (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:THOMAS
Last Name:COHLMIA
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:1231 E BELT LINE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3748
Mailing Address - Country:US
Mailing Address - Phone:972-699-1101
Mailing Address - Fax:
Practice Address - Street 1:1231 E BELT LINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3748
Practice Address - Country:US
Practice Address - Phone:972-699-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics