Stephen Duane Cochran in Jacksonville - Pediatric Dentistry
Stephen Duane Cochran - NPI 1639331382
Stephen Duane Cochran is a Pediatric Dentistry in Jacksonville, Florida. Stephen Duane Cochran practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stephen Duane Cochran is 1639331382. The last update date is 2008-06-25.
Stephen Duane Cochran's current location address is 8355 Bayberry Rd, Jacksonville, Florida. You can contact this provider via phone number 9047337254 and fax number 9047310144. The mailing address for Stephen Duane Cochran is 8355 Bayberry Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Duane Cochran |
|---|---|
| Address | 8355 Bayberry Rd, Jacksonville, Florida |
| Phone Number | 9047337254 |
| Fax Number | 9047310144 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1639331382 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 8355 Bayberry Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322564427 |
| Phone Number | 9047337254 |
| Fax Number | 9047310144 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN12667 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00583877A | GA | -- | |
| 69399 | FL | BLUE CROSS BLUE SHIELD | |
| 825658 | FL | UNITED CONCORDIA | |
| 74269400 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Duane Cochran by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Duane Cochran has been assigned the NPI (National Provider Identifier) 1639331382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Stephen Duane Cochran located?
The Stephen Duane Cochran is located at 8355 Bayberry Rd, Jacksonville, FL 322564427.
What is the Stephen Duane Cochran's area of specialization and corresponding taxonomy classification?
The Stephen Duane Cochran's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1639331382 to Stephen Duane Cochran?
The Stephen Duane Cochran received its 1639331382 assignment from the Centers for Medicare & Medicaid Services on 2008-06-25.
When was the information regarding Stephen Duane Cochran, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stephen Duane Cochran, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-25.
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