| Cohen Pediatric Dentistry | |
|
8142 Country Village Dr Suite 101 Cordova TN 38016-2029 | |
| (901) 756-4447 | |
| (901) 756-8784 |
| Full Name | Cohen Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8142 Country Village Dr, Cordova, Tennessee |
| Authorized Official Name and Position | Alka Vishnu Cohen (PRESIDENT/OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 9017564447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cohen Pediatric Dentistry 8142 Country Village Dr Suite 101 Cordova TN 38016-2029 Ph: (901) 756-4447 | Cohen Pediatric Dentistry 8142 Country Village Dr Suite 101 Cordova TN 38016-2029 Ph: (901) 756-4447 |
| NPI Number | 1457523797 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457523797 | NPI | - | NPPES |
| 0016004 | Other | TN | DORAL PROVIDER NUMBER |
| 3207374 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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