Healthcare Provider Details

I. General information

NPI: 1245140227
Provider Name (Legal Business Name): TARAN J THOHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 GENESEE ST STE 303
AUBURN NY
13021-3526
US

IV. Provider business mailing address

144 GENESEE ST STE 303
AUBURN NY
13021-3526
US

V. Phone/Fax

Practice location:
  • Phone: 315-253-8477
  • Fax: 315-252-6354
Mailing address:
  • Phone: 315-253-8477
  • Fax: 315-252-6354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number032757
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: