Provider Demographics
NPI:1962611814
Name:KOHN, ALAN B (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:KOHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 OCEAN PKWY
Mailing Address - Street 2:SUITE AA
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2185
Mailing Address - Country:US
Mailing Address - Phone:718-633-4963
Mailing Address - Fax:718-701-3849
Practice Address - Street 1:800 OCEAN PKWY
Practice Address - Street 2:SUITE AA
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2185
Practice Address - Country:US
Practice Address - Phone:718-633-4963
Practice Address - Fax:718-701-3849
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0343901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice