Provider Demographics
NPI:1134756232
Name:JAMIE COHN DDS PLLC
Entity type:Organization
Organization Name:JAMIE COHN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-792-3281
Mailing Address - Street 1:31 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2803
Mailing Address - Country:US
Mailing Address - Phone:518-792-3281
Mailing Address - Fax:518-743-9851
Practice Address - Street 1:31 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2803
Practice Address - Country:US
Practice Address - Phone:518-792-3281
Practice Address - Fax:518-743-9851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty