Provider Demographics
NPI:1366540148
Name:COHEN, AARON SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:SCOTT
Last Name:COHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:A.
Other - Middle Name:SCOTT
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2222 EAST ST
Mailing Address - Street 2:350
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2084
Mailing Address - Country:US
Mailing Address - Phone:925-676-3000
Mailing Address - Fax:925-676-3001
Practice Address - Street 1:2222 EAST ST
Practice Address - Street 2:350
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2084
Practice Address - Country:US
Practice Address - Phone:925-676-3000
Practice Address - Fax:925-676-3001
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA412421223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics