Individual
DR. BRYAN KENT COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6256 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(402) 483-7631
Mailing address
6256 YELLOWSTONE RD, CHEYENNE, WY 82009-3432
(307) 635-3044
(307) 637-8382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1033
WY
1223P0300X
Periodontics
6377
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132246000
—
WY
Enumeration date
11/30/2006
Last updated
12/09/2014
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