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NPI Code Detail

MEDICARE: DR. DOUGLAS J. COCHRAN D.D.S. P.C.

MEDICARE: DR. DOUGLAS J. COCHRAN D.D.S. P.C.
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
1122300000XDentist014180MO

General Provider Information

NPI Number : 1225447667
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. DOUGLAS J. COCHRAN D.D.S. P.C.
Provider Business Mailing Address
First Line : 7101 N OAK TRFY
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-2514
Country : US
Telephone Number : 816-436-2150
Fax Number : 816-436-2083
Provider Business Practice Location Address
First Line : 7101 N OAK TRFY
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-2514
Country : US
Telephone Number : 816-436-2150
Fax Number : 816-436-2083
Authorized Official
Title or Position : PRESIDENT
Name : DR. DOUGLAS JAMES COCHRAN
Credential : D.D.S.
Telephone Number : 18164362150
Provider Enumeration Date : 08/11/2014
Last Update Date : 09/02/2014

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Directions to “DR. DOUGLAS J. COCHRAN D.D.S. P.C. ” Practice Location

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