Provider Demographics
NPI:1306995535
Name:COHEN, PAUL D (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:COHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2407
Mailing Address - Country:US
Mailing Address - Phone:781-444-0038
Mailing Address - Fax:781-444-3180
Practice Address - Street 1:234 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2407
Practice Address - Country:US
Practice Address - Phone:781-444-0038
Practice Address - Fax:781-444-3180
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist