| Cochran Family Dentistry | |
|
6256 Yellowstone Road Cheyenne WY 82009-3432 | |
| (307) 635-3044 | |
| (307) 637-8382 |
| Full Name | Cochran Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6256 Yellowstone Road, Cheyenne, Wyoming |
| Authorized Official Name and Position | Marshall Kent Cochran (OWNER/PROVIDER) |
| Authorized Official Contact | 3076353044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cochran Family Dentistry 6256 Yellowstone Road Cheyenne WY 82009-3432 Ph: (307) 635-3044 | Cochran Family Dentistry 6256 Yellowstone Road Cheyenne WY 82009-3432 Ph: (307) 635-3044 |
| NPI Number | 1376868505 |
|---|---|
| Provider Enumeration Date | 03/31/2010 |
| Last Update Date | 03/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376868505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 567 (Wyoming) | Primary |
| 1223G0001X | Dentist - General Practice | 1033 (Wyoming) | Secondary |
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