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NPI Code Detail

MEDICARE: DR. DOUGLAS JAMES COCHRAN D.D.S.

MEDICARE:  DR. DOUGLAS JAMES COCHRAN  D.D.S.
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 : 1265469753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS JAMES COCHRAN D.D.S.
Provider Business Mailing Address
First Line : 7101 N OAK TRFY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2514
Country : US
Telephone Number : 816-436-2150
Fax Number :
Provider Business Practice Location Address
First Line : 7101 N OAK TRFY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2514
Country : US
Telephone Number : 816-436-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 08/02/2018

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Directions to “ DR. DOUGLAS JAMES COCHRAN D.D.S.” Practice Location

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