Provider Demographics
NPI:1780019844
Name:DANIEL COHEN, DDS, PC
Entity Type:Organization
Organization Name:DANIEL COHEN, DDS, PC
Other - Org Name:DENTAL CARE 4 KIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-569-5437
Mailing Address - Street 1:216 ENGLE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2444
Mailing Address - Country:US
Mailing Address - Phone:201-569-5437
Mailing Address - Fax:201-567-8613
Practice Address - Street 1:216 ENGLE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2444
Practice Address - Country:US
Practice Address - Phone:201-569-5437
Practice Address - Fax:201-567-8613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ21207261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental