Provider Demographics
NPI:1982610838
Name:COHEN, ROBERT E (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:COHEN
Suffix:
Gender:M
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SCHOOL OF DENTAL MEDICINE, UNIVERSITY AT BUFFALO
Mailing Address - Street 2:250 SQUIRE HALL
Mailing Address - City:BUFFALO, NY
Mailing Address - State:NY
Mailing Address - Zip Code:14214-3008
Mailing Address - Country:US
Mailing Address - Phone:716-829-3845
Mailing Address - Fax:716-837-7823
Practice Address - Street 1:250 SQUIRE HALL
Practice Address - Street 2:SCHOOL OF DENTAL MEDICINE UNIVERSITY AT BUFFALO
Practice Address - City:BUFFALO, NY
Practice Address - State:NY
Practice Address - Zip Code:14214-3008
Practice Address - Country:US
Practice Address - Phone:716-829-3845
Practice Address - Fax:716-837-7823
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035872-11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics