| Blair E. Cohen Dds, Pllc | |
|
735 E Broadway Blvd Jefferson City TN 37760-4907 | |
| (865) 475-7901 | |
| Not Available |
| Full Name | Blair E. Cohen Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 735 E Broadway Blvd, Jefferson City, Tennessee |
| Authorized Official Name and Position | Blair Elizabeth Cohen (OWNER) |
| Authorized Official Contact | 8654757901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair E. Cohen Dds, Pllc 735 E Broadway Blvd Jefferson City TN 37760-4907 Ph: () - | Blair E. Cohen Dds, Pllc 735 E Broadway Blvd Jefferson City TN 37760-4907 Ph: (865) 475-7901 |
| NPI Number | 1396444865 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396444865 | NPI | - | NPPES |
| 1114288438 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jefferson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 George Ave, Jefferson City, TN 37760 Phone: 865-475-8988 Fax: 865-475-1103 | |
Blair E. Cohen, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-7901 | |
Steven J Monroe Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-7901 Fax: 865-475-8133 |