Provider Demographics
NPI:1265562003
Name:COHEN, MORTON DONALD (DDS)
Entity type:Individual
Prefix:DR
First Name:MORTON
Middle Name:DONALD
Last Name:COHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3557
Mailing Address - Country:US
Mailing Address - Phone:585-248-2263
Mailing Address - Fax:
Practice Address - Street 1:80 OFFICE PARK WAY
Practice Address - Street 2:SUITE #2
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1748
Practice Address - Country:US
Practice Address - Phone:585-381-7970
Practice Address - Fax:585-586-9533
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029423122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist