NPI 1619004496 · live from the CMS NPI Registry
Kenneth Cohen-Sasson, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Suwanee, GA. National Provider Identifier 1619004496, active.
NPI record
| NPI | 1619004496 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3186 Lawrenceville Suwanee Rd, Suwanee, GA 30024 |
| Practice phone | 770-222-2322 |
| Enumerated | February 27, 2007 |
| Last updated | May 16, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN16687 (FL) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN015583 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.