Provider Demographics
NPI:1124045851
Name:COHIL, KIRK KENNETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:KENNETH
Last Name:COHIL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 E SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5835
Mailing Address - Country:US
Mailing Address - Phone:407-889-9682
Mailing Address - Fax:407-889-0015
Practice Address - Street 1:2525 E SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5835
Practice Address - Country:US
Practice Address - Phone:407-889-9682
Practice Address - Fax:407-889-0015
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN151231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice