Provider Demographics
NPI:1164511325
Name:COHEN, TODD IAN (DMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:IAN
Last Name:COHEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3414
Mailing Address - Country:US
Mailing Address - Phone:856-889-9423
Mailing Address - Fax:
Practice Address - Street 1:1642 KINGS HWY N
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2302
Practice Address - Country:US
Practice Address - Phone:856-433-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01795400122300000X
PADS027804L1223G0001X
NJ179541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist