Provider Demographics
NPI:1326068925
Name:JEROME S COHEN DMD STEVEN H SCHWARTZ DMD PA
Entity Type:Organization
Organization Name:JEROME S COHEN DMD STEVEN H SCHWARTZ DMD PA
Other - Org Name:COHEN AND SCHWARTZ DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-347-8110
Mailing Address - Street 1:100 ROUTE 46
Mailing Address - Street 2:VILLAGE GREEN SHOPPING CENTER
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828
Mailing Address - Country:US
Mailing Address - Phone:973-347-8110
Mailing Address - Fax:973-347-2936
Practice Address - Street 1:100 HIGHWAY 46
Practice Address - Street 2:VILLAGE GREEN SHOPPING CENTER
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828
Practice Address - Country:US
Practice Address - Phone:973-347-8110
Practice Address - Fax:973-347-2936
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEROME S COHEN DMD STEVEN H SCHWARTZ DMD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-20
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI9758122300000X
NJDI9782122300000X
NJD97821223G0001X
NJD97581223G0001X
NJ22DI012961011223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty