| William L. Kochenour D.d.s.,m.s. | |
|
3005 Enterprise Rd E Clearwater FL 33759-1304 | |
| (727) 796-2456 | |
| (727) 796-8364 |
| Full Name | William L. Kochenour D.d.s.,m.s. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3005 Enterprise Rd E, Clearwater, Florida |
| Authorized Official Name and Position | William L Kochenour (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 7277962456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William L. Kochenour D.d.s.,m.s. 3005 Enterprise Rd E Clearwater FL 33759-1304 Ph: (727) 796-2456 | William L. Kochenour D.d.s.,m.s. 3005 Enterprise Rd E Clearwater FL 33759-1304 Ph: (727) 796-2456 |
| NPI Number | 1992020986 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992020986 | NPI | - | NPPES |
| 072684200-FL | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN13311 (Florida) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN0008889 (Florida) | Primary |
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