Provider Demographics
NPI:1588857759
Name:COHAIN, DAVID Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:Z
Last Name:COHAIN
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 1:555 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-2404
Mailing Address - Country:US
Mailing Address - Phone:201-592-1818
Mailing Address - Fax:
Practice Address - Street 1:555 NORTH AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-2404
Practice Address - Country:US
Practice Address - Phone:201-592-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ19372-D067057122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist