Individual
RICHARD NICHOLAS COCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41 INDUSTRIAL LN, CALVERT CITY, KY 42029-8418
(270) 395-4349
(270) 395-0175
Mailing address
PO BOX 625, CALVERT CITY, KY 42029-0625
(270) 395-4349
(270) 395-0175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8273
KY
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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