| R Bruce Cochrane Dds Pc | |
|
1611 1st Ave N Fort Dodge IA 50501-4253 | |
| (515) 576-8151 | |
| (515) 576-5670 |
| Full Name | R Bruce Cochrane Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1611 1st Ave N, Fort Dodge, Iowa |
| Authorized Official Name and Position | Jean M Hoover (OFFICE MANAGER) |
| Authorized Official Contact | 5155768151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Bruce Cochrane Dds Pc 1611 1st Ave N Fort Dodge IA 50501-4253 Ph: (515) 576-8151 | R Bruce Cochrane Dds Pc 1611 1st Ave N Fort Dodge IA 50501-4253 Ph: (515) 576-8151 |
| NPI Number | 1336287127 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 7214015031 |
|---|---|
| Medicare Enrollment ID | O20080419000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336287127 | NPI | - | NPPES |
| 1143495 | Medicaid | IA | |
| 0143495 | Medicaid | IA | |
| 2143495 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6251 (Iowa) | Primary |
| Provider Name | Robert Bruce Cochrane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144309725 PECOS PAC ID: 0840255337 Enrollment ID: I20041123001142 |
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