Dr. Terrell Cohen
Periodontist
1090 Dolliver St
Pismo Beach
, California 93449-2508
Dr. Terrell Cohen
Periodontist
1090 Dolliver St
Pismo Beach
, California 93449-2508
(805) 747-4584
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Terrell Cohen
- 375 Plancha Way
- Arroyo Grande, CA
- Zip : 93420-4610
- Phone : (805) 747-4584
Second Address
- Dr. Terrell Cohen
- 1090 Dolliver St
- Pismo Beach, CA
- Zip : 93449-2508
- Phone : (805) 773-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 24961 | CA |
National Provider Identifier
| NPI | 1114921194 |
|---|---|
| Provider Name | Dr. Terrell Cohen |
| First Address | Arroyo Grande, CA 93420-4610 |
| Second Address | Pismo Beach, CA 93449-2508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 06/03/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.