| Byron L. Cohee,dds,pc | |
|
65 E 2nd St Peru IN 46970-2266 | |
| (765) 473-5959 | |
| (765) 473-7511 |
| Full Name | Byron L. Cohee,dds,pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65 E 2nd St, Peru, Indiana |
| Authorized Official Name and Position | Byron Leon Cohee (OWNER/PRESIDENT) |
| Authorized Official Contact | 7654735959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron L. Cohee,dds,pc 65 E 2nd St P.o. Box 11 Peru IN 46970-2266 Ph: (765) 473-5959 | Byron L. Cohee,dds,pc 65 E 2nd St Peru IN 46970-2266 Ph: (765) 473-5959 |
| NPI Number | 1720472392 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720472392 | NPI | - | NPPES |
| 100179390A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | IN12008206A (Indiana) | Primary |
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