DR. MARK INMAN COHEN (NPI# 1255370565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255370565 |
| Entity Type | Individual |
| Full Name | DR. MARK INMAN COHEN |
| Credential | D.D.S. |
| Practice Address |
609 Beaver Ruin Rd Nw Suite E Lilburn GA 30047-3401 |
| Practice Telephone | 7707175552 |
| Practice Fax Number | 7702797916 |
| Mailing Telephone | 7707175552 |
| Mailing Fax Number | 7702797916 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10478 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083141162 | Mark Aaron Cohen | Chiropractor | 92-8961 #8 Lotus Blossom Dr., Ocean View, HI 96737-7308 | 2017-05-19 |
| 1396178265 | Mark E Cohen | Contractor | 56 St Lawrence Way, Marlboro, NJ 07746-1272 | 2013-08-15 |
| 1942477880 | Mark Cohen | Counselor | 43 Park Ln, Suite 1, Rockville Centre, NY 11570-1831 | 2008-05-09 |
| 1053527754 | Mark R Cohen | Surgery | 6528 N 26th St, Phoenix, AZ 85016-8937 | 2007-05-16 |
| 1760507826 | Mark Leonard Cohen | Acupuncturist | 94 Corey Rd Apt 16, Brighton, MA 02135-8138 | 2007-03-20 |
| 1679605810 | Mark S Cohen | Physical Therapist | 159 Kinsley St, Nashua, NH 03060 | 2007-03-12 |
| 1952456345 | Mark J. Cohen | Dentist | 2233 Clifford Ave, Rochester, NY 14609-3728 | 2007-01-24 |
| 1164434015 | Mark Frederick Cohen | Family Medicine | 1950 Marietta Ave, Lancaster, PA 17603-2324 | 2006-08-12 |
| 1255347449 | Mark Joel Cohen | Family Medicine | Us Dept of State Med Quality Improvement, 2401 E Street, Nw, Washington, DC 20522-0001 | 2006-07-31 |
| 1528090347 | Mark P. Cohen | Dentist | 142 Walnut Street, Roselle Park, NJ 07204-0122 | 2006-07-06 |
| Street Address |
609 BEAVER RUIN RD NW SUITE E |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447377130 | Mark D Thebaut Dds PC | Dentist | 609 Beaver Ruin Rd Nw, Suite A, Lilburn, GA 30047-3401 | 2007-03-26 |
| 1831291574 | Gregory A Clepper | Dentist | 609 Beaver Ruin Rd Nw, Lilburn, GA 30047-3401 | 2006-09-02 |
| 1245332238 | Mark D Thebaut | Dentist | 609 Beaver Ruin Rd Nw, Lilburn, GA 30047-3401 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679977656 | M Forest Butler Dds Ms PC | Dentist | 320 Killian Hill Rd Nw, Lilburn, GA 30047-3809 | 2014-10-20 |
| 1356478473 | Gary R Greenwald | Dentist | 656 Indian Trail Lilburn Rd Nw, Suite 203, Lilburn, GA 30047-6837 | 2007-02-27 |
| 1619995917 | Milton Forest Butler | Dentist | 320 Killian Hill Road Sw, Lilburn, GA 30047 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420146 | Scott Hansen Lowry | Dentist | 1430 John Wesley Drive, Augusta, GA 30912-0001 | 2020-02-25 |
| 1780233981 | North Point Periodontics Center LLC | Dentist | 4205 N Point Pkwy Ste A, Alpharetta, GA 30022-8808 | 2019-09-10 |
| 1972012961 | Newnan Periodontics LLC | Dentist | 1635 Highway 34 E Ste A, Newnan, GA 30265-2173 | 2017-09-22 |
| 1871948695 | Kyle Garrett | Dentist | 2704 W Terrace Dr, Augusta, GA 30909-3622 | 2016-04-29 |
| 1346601291 | Titanium Dental | Dentist | 3796 Satellite Blvd Ste 101, Duluth, GA 30096-5698 | 2016-03-18 |
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1922491356 | John H Eaton | Dentist | 1776 Old Spring House Ln Ste 301, Dunwoody, GA 30338-6225 | 2015-03-10 |
| 1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
| 1699104927 | Nisha Maniar Kancherla | Dentist | 300 W Wieuca Rd Ne Suite 100, Atlanta, GA 30342-9701 | 2013-11-07 |
| 1306273172 | Gerrit Charles Hagman | Dentist | 6190 Rivercliffe Dr, Atlanta, GA 30328-3711 | 2013-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.