Provider Demographics
NPI:1972598555
Name:COHEN, IRWIN MILTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:IRWIN
Middle Name:MILTON
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 1:2900 S PEORIA ST
Mailing Address - Street 2:AURORA
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3182
Mailing Address - Country:US
Mailing Address - Phone:303-750-7750
Mailing Address - Fax:303-750-1374
Practice Address - Street 1:2900 S PEORIA ST
Practice Address - Street 2:AURORA
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5712
Practice Address - Country:US
Practice Address - Phone:303-750-7750
Practice Address - Fax:303-750-1374
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-24
Provider Licenses
StateLicense IDTaxonomies
CO26633RTSL1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry