Provider Demographics
NPI:1578681433
Name:COHN, HENRY HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HARRIS
Last Name:COHN
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 1:653 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3848
Mailing Address - Country:US
Mailing Address - Phone:201-858-2100
Mailing Address - Fax:201-858-3988
Practice Address - Street 1:653 AVE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3848
Practice Address - Country:US
Practice Address - Phone:201-858-2100
Practice Address - Fax:201-858-3988
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ13447122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist