Provider Demographics
NPI:1912631623
Name:COHEN, SAPIR LEAH (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAPIR
Middle Name:LEAH
Last Name:COHEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 N 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6208
Mailing Address - Country:US
Mailing Address - Phone:954-326-3854
Mailing Address - Fax:
Practice Address - Street 1:620 E OAKLAND PARK BLVD STE 100
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2881
Practice Address - Country:US
Practice Address - Phone:754-206-5897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27019122300000X, 1223G0001X
CODEN.00205285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice