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NPI Code Detail

MEDICARE: DR. JENNIFER DANIEL COCHRAN DDS

MEDICARE:  DR. JENNIFER DANIEL COCHRAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7642TN

General Provider Information

NPI Number : 1831257088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER DANIEL COCHRAN DDS
Provider Business Mailing Address
First Line : 1723 KIRBY PKWY
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-4367
Country : US
Telephone Number : 901-756-7000
Fax Number : 901-756-8995
Provider Business Practice Location Address
First Line : 1723 KIRBY PKWY
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-4367
Country : US
Telephone Number : 901-756-7000
Fax Number : 901-756-8995
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JENNIFER DANIEL COCHRAN DDS” Practice Location

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