Provider Demographics
NPI:1942334206
Name:COHEN, RONALD ALEX (DDS,FACD,FICD,FAGD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALEX
Last Name:COHEN
Suffix:
Gender:M
Credentials:DDS,FACD,FICD,FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 W SAMPLE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2258
Mailing Address - Country:US
Mailing Address - Phone:954-755-3308
Mailing Address - Fax:954-341-7305
Practice Address - Street 1:7305 W SAMPLE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2258
Practice Address - Country:US
Practice Address - Phone:954-755-3308
Practice Address - Fax:954-341-7305
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70871223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics