Individual
PATRICK J COCKERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
830 VILLAGE SQ, GRETNA, NE 68028-7914
(402) 332-3946
Mailing address
830 VILLAGE SQ, GRETNA, NE 68028-7914
(402) 332-3946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5689
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251277 00
—
NE
Enumeration date
10/19/2005
Last updated
10/16/2023
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