Provider Demographics
NPI:1932567468
Name:AARON T COHENOUR, DDS PLLC
Entity Type:Organization
Organization Name:AARON T COHENOUR, DDS PLLC
Other - Org Name:SMILEARTS DENTAL STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:T
Authorized Official - Last Name:COHENOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-577-2444
Mailing Address - Street 1:820 S MUSTANG RD
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6767
Mailing Address - Country:US
Mailing Address - Phone:405-577-2444
Mailing Address - Fax:
Practice Address - Street 1:820 S MUSTANG RD
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6767
Practice Address - Country:US
Practice Address - Phone:405-577-2444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:06/01/2013
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty