Provider Demographics
NPI:1063416022
Name:COHEN, RONALD ALLEN (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALLEN
Last Name:COHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 WARD DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4315
Mailing Address - Country:US
Mailing Address - Phone:215-493-5554
Mailing Address - Fax:215-245-0340
Practice Address - Street 1:3139 HULMEVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4306
Practice Address - Country:US
Practice Address - Phone:215-639-3362
Practice Address - Fax:215-245-0340
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017658L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice