Provider Demographics
NPI:1962853036
Name:JAMES D. CAHN, DDS, P.C.
Entity Type:Organization
Organization Name:JAMES D. CAHN, DDS, P.C.
Other - Org Name:WEST END DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-489-7300
Mailing Address - Street 1:5225 HICKORY PARK DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2620
Mailing Address - Country:US
Mailing Address - Phone:804-270-5225
Mailing Address - Fax:
Practice Address - Street 1:5225 HICKORY PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-2620
Practice Address - Country:US
Practice Address - Phone:804-270-5225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412845305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401412845OtherDENTAL LICENSE NUMBER
VA1831402122OtherMY INDIVIDUAL NPI NUMBER