Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922428986 Individual Practitioner Female Practitioner

Dr. Mitra Kohan , DDS

Dentist • Cordova, TN

Professional Overview & Biography Verified Profile Summary

Dr. Mitra Kohan, DDS is a registered healthcare professional specializing in Dentist in Cordova, TN. Practice services are available at 9200 CHIMNEYROCK BLVD STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9200 Chimneyrock Blvd Ste 104

Cordova, TN 380162201

Telephone 9013096801
Associated Practice Facility / Clinic
🏢 Berryhill Dental Center Facility NPI 1952246894

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cordova, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Cordova, TN (1629 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TN DS0000009759

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License IA 09147

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 06, 2018

Registered at 9200 CHIMNEYROCK BLVD STE 104, CORDOVA, TN 380162201 (Tel: 9013096801)

📍
Updated Business Mailing Address April 06, 2018

Registered at 9200 CHIMNEYROCK BLVD STE 104, CORDOVA, TN 380162201 (Tel: 9013096801)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2018

Dentist (License #09147 in IA)

NPI Profile Active March 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2017

Registered at 206 W 6TH STREET, STILLWATER, OK 740743513 (Tel: 4057076135)

📍
Updated Business Mailing Address March 01, 2017

Registered at 206 W 6TH STREET, STILLWATER, OK 74074 (Tel: 4057076135)

👤
Provider Name / Credentials Updated March 01, 2017

Recorded as MITRA KOHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2017

Dentist (License #DS0000009759 in TN)

NPI Profile Active April 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2014

Registered at 1331 UNION AVE, SUITE 1225, MEMPHIS, TN 381043513 (Tel: 9012767314)

📍
Updated Business Mailing Address April 17, 2014

Registered at 7033 HIGHWAY 64, OAKLAND, TN 380603209

👤
Provider Name / Credentials Updated April 17, 2014

Recorded as MITRA KOHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2014

Dentist (License #DS0000009759 in TN)

🟢
Initial NPI Registration & Enumeration April 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922428986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2014
Last Update: April 06, 2018
Sole Proprietor: Yes

Mailing Address

9200 Chimneyrock Blvd Ste 104

Cordova, TN 380162201

Phone: 9013096801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.