Provider Demographics
NPI:1982801395
Name:KAHLON, ERIN JYOT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:JYOT
Last Name:KAHLON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-2886
Mailing Address - Country:US
Mailing Address - Phone:321-784-7415
Mailing Address - Fax:321-783-8444
Practice Address - Street 1:30 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-2886
Practice Address - Country:US
Practice Address - Phone:321-784-7415
Practice Address - Fax:321-783-8444
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN183971223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice