Individual provider · NPI-1
Dr. Hannah Gray Cohen, DDS
Dentist, Endodontics · Winchester, MA
NPI number1972025328
StatusActive
Last updated in NPPESJan 20, 2020
Details
- NPI
- 1972025328
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hannah Gray Cohen
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2017
- Certification date
- Jan 20, 2020
- Last updated
- Jan 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | DN1857742 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
607 Main StWinchester, MA 01890-1902
Phone 781-729-7767
Mailing address
95 Mount Vernon St Apt 12Boston, MA 02108-1209
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