| Joseph W Cochran Dds Pc | |
|
915 S Ironwood Dr South Bend IN 46615-1613 | |
| (574) 288-5252 | |
| Not Available |
| Full Name | Joseph W Cochran Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 915 S Ironwood Dr, South Bend, Indiana |
| Authorized Official Name and Position | Joseph Cochran (PRESIDENT/OWNER) |
| Authorized Official Contact | 5742885252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph W Cochran Dds Pc 915 S Ironwood Dr South Bend IN 46615-1613 Ph: (574) 288-5252 | Joseph W Cochran Dds Pc 915 S Ironwood Dr South Bend IN 46615-1613 Ph: (574) 288-5252 |
| NPI Number | 1275198715 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275198715 | NPI | - | NPPES |
| 1326060641 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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