Healthcare Provider Details

I. General information

NPI: 1831046705
Provider Name (Legal Business Name): DAVID COCHRAN DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 N KENTUCKY AVE
WEST PLAINS MO
65775-2023
US

IV. Provider business mailing address

818 N KENTUCKY AVE
WEST PLAINS MO
65775-2023
US

V. Phone/Fax

Practice location:
  • Phone: 417-257-1200
  • Fax:
Mailing address:
  • Phone: 417-257-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID COCHRAN
Title or Position: OWNER
Credential: DDS
Phone: 417-372-1339