Provider Demographics
NPI:1720216070
Name:COHEN, NEIL DAVID (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:DAVID
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 1:700 2ND AVE N STE 303
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5702
Mailing Address - Country:US
Mailing Address - Phone:239-351-2000
Mailing Address - Fax:239-351-1880
Practice Address - Street 1:700 2ND AVE N STE 303
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5702
Practice Address - Country:US
Practice Address - Phone:239-351-2000
Practice Address - Fax:239-351-1880
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0529911223P0700X
FLDN204411223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics