Provider Demographics
NPI:1922208255
Name:COHN, ADAM DANIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DANIEL
Last Name:COHN
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 1:8970 SW 87TH CT
Mailing Address - Street 2:SUITE 22
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2207
Mailing Address - Country:US
Mailing Address - Phone:305-598-1428
Mailing Address - Fax:305-598-5365
Practice Address - Street 1:8970 SW 87TH CT
Practice Address - Street 2:SUITE 22
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2207
Practice Address - Country:US
Practice Address - Phone:305-598-1428
Practice Address - Fax:305-598-5365
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 181251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice