Provider Demographics
NPI:1366606402
Name:ALAN B. KOHN, D.D.S., P.C.
Entity type:Organization
Organization Name:ALAN B. KOHN, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-633-4963
Mailing Address - Street 1:800 OCEAN PKWY
Mailing Address - Street 2:STE. 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:
Practice Address - Street 1:800 OCEAN PKWY
Practice Address - Street 2:STE. 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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034390-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty