Provider Demographics
NPI:1336168749
Name:COHEN, STEVEN NEAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:NEAL
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 1:3 POST OFFICE SQUARE 9TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-3932
Mailing Address - Country:US
Mailing Address - Phone:617-426-6011
Mailing Address - Fax:617-426-4680
Practice Address - Street 1:3 POST OFFICE SQ
Practice Address - Street 2:9TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-3905
Practice Address - Country:US
Practice Address - Phone:617-426-6011
Practice Address - Fax:617-426-4680
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA121301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice