| Kevin P. Cochran Dds Llc | |
|
253 Hampton Pl Springfield OH 45503-2613 | |
| (937) 399-9777 | |
| (937) 399-9781 |
| Full Name | Kevin P. Cochran Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 253 Hampton Pl, Springfield, Ohio |
| Authorized Official Name and Position | Kevin P Cochran (OWNER) |
| Authorized Official Contact | 9373999777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin P. Cochran Dds Llc 253 Hampton Pl Springfield OH 45503-2613 Ph: (937) 399-9777 | Kevin P. Cochran Dds Llc 253 Hampton Pl Springfield OH 45503-2613 Ph: (937) 399-9777 |
| NPI Number | 1396840112 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 05/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396840112 | NPI | - | NPPES |
| 2512712 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30020445 (Ohio) | Primary |
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