Provider Demographics
NPI:1386814903
Name:COHEN, HARVEY JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:JOSEPH
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 1:1087 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1700
Mailing Address - Country:US
Mailing Address - Phone:508-655-6262
Mailing Address - Fax:617-964-5107
Practice Address - Street 1:1087 BEACON ST
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1700
Practice Address - Country:US
Practice Address - Phone:508-655-6262
Practice Address - Fax:617-964-5107
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice