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DR. JERRY E. COHRON PLLC NPI 1558634808


NPI Information

NPI: 1558634808
Provider Name: DR. JERRY E. COHRON PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
948 ELM ST
SUITE 2
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 745-0698
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DR. JERRY E. COHRON PLLC is an oral and maxillofacial surgery dentist in Bowling Green, KY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. JERRY E. COHRON PLLC NPI is 1558634808. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

948 ELM ST
SUITE 2
BOWLING GREEN, KY
ZIP 42101-277
Phone: (270) 745-0698
Fax: (270) 745-0067

The provider's authorized official is Elisha D Smith .
The authorized official title is Office Manager and has the following contact phone number (270) 745-0698.

The enumeration date for this NPI number is 2/17/2012 and was last updated on 2/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist4043KENTUCKYNo
21223S0112XDentistOral and Maxillofacial Surgery4043KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
160040433MEDICAIDKENTUCKY
264040439MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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