Provider Demographics
NPI:1225163272
Name:COHEN, BARRY I (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:I
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 1:4750 TOWNSHIP LINE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-4234
Mailing Address - Country:US
Mailing Address - Phone:610-449-7002
Mailing Address - Fax:610-789-3887
Practice Address - Street 1:4750 TOWNSHIP LINE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4234
Practice Address - Country:US
Practice Address - Phone:610-449-7002
Practice Address - Fax:610-789-3887
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021855L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist