Provider Demographics
NPI:1881704427
Name:COHEN, RACHELLE S (DMD , MSD)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:DMD , MSD
Other - Prefix:MS
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:HECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD , MSD
Mailing Address - Street 1:5016 CALIFORNIA AVE SW
Mailing Address - Street 2:STE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136
Mailing Address - Country:US
Mailing Address - Phone:206-937-1010
Mailing Address - Fax:206-937-6223
Practice Address - Street 1:5016 CALIFORNIA AVE SW
Practice Address - Street 2:STE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136
Practice Address - Country:US
Practice Address - Phone:206-937-1010
Practice Address - Fax:206-937-6223
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000097411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics