Healthcare Provider Details

I. General information

NPI: 1275206864
Provider Name (Legal Business Name): ALEXANDRIA COCHRANE CASHMORE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E CENTER ST
MANCHESTER CT
06040-5207
US

IV. Provider business mailing address

229 E CENTER ST
MANCHESTER CT
06040-5207
US

V. Phone/Fax

Practice location:
  • Phone: 860-643-0688
  • Fax:
Mailing address:
  • Phone: 860-643-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS-09928
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14674
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: