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Organization
RICHARD I. COCKE JR., P.S.C.
Active
Organization
RICHARD I. COCKE JR., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD IVANHOE COCKE III D.M.D. (PRESIDENT)
(270) 395-4349
Entity
Organization
Contact information
Practice address
41 INDUSTRIAL PWY, CALVERT CITY, KY 42029
(270) 395-4349
(270) 395-0175
Mailing address
41 INDUSTRIAL PWY, P.O. BOX 625, CALVERT CITY, KY 42029
(270) 395-4349
(270) 395-0175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5127
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60051273
—
KY
Enumeration date
02/12/2007
Last updated
08/22/2020
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