Provider Demographics
NPI:1003268616
Name:COHEN, RACHEL LAUREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LAUREN
Last Name:COHEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HAWLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-2129
Mailing Address - Country:US
Mailing Address - Phone:516-721-0051
Mailing Address - Fax:
Practice Address - Street 1:51 MARKET SQ
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2912
Practice Address - Country:US
Practice Address - Phone:860-667-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT125811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice