Provider Demographics
NPI:1093908964
Name:COHEN, ROBERT PRESTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PRESTON
Last Name:COHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 DONNELL DR
Mailing Address - Street 2:SUITE #215
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3901
Mailing Address - Country:US
Mailing Address - Phone:301-736-1400
Mailing Address - Fax:
Practice Address - Street 1:3700 DONNELL DR
Practice Address - Street 2:SUITE #215
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-3901
Practice Address - Country:US
Practice Address - Phone:301-736-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD55891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice