DR. MARK INMAN COHEN D.D.S.
NPI 1255370565
Dentist - Periodontics in Lilburn, GA

Active since June 05, 2006PECOS Enrolled
609 BEAVER RUIN RD NW, SUITE E, LILBURN, GA 30047(770) 717-5552(770) 279-7916 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Inman Cohen D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK INMAN COHEN D.D.S. (NPI 1255370565) is an individual periodontics provider in Lilburn, Georgia, licensed in Georgia (10478) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255370565
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MARK INMAN COHENCredential: D.D.S.
Location Address609 BEAVER RUIN RD NW, SUITE ELilburn, GA 30047-3401
Mailing Address609 Beaver Ruin Rd Nw, Suite ELilburn, GA 30047-3401 · (770) 717-5552 · Fax (770) 279-7916
Fax(770) 279-7916
Sole ProprietorYes
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255370565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in GA · 10478
Definition

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.

609 BEAVER RUIN RD NW, Lilburn, GA 30047

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mark Inman Cohen D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
609 BEAVER RUIN RD NW
LILBURN, GA 30047
Dentist (General Practice)
609 BEAVER RUIN RD NW
LILBURN, GA 30047
Dentist (Pediatric Dentistry)
609 BEAVER RUIN RD NW, SUITE A
LILBURN, GA 30047
Dentist (Pediatric Dentistry)
609 BEAVER RUIN RD NW
LILBURN, GA 30047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255370565, enumerated as an "individual" on June 05, 2006.

The provider is located at 609 BEAVER RUIN RD NW SUITE E LILBURN, GA 30047 and the phone number is (770) 717-5552.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.