Individual
DR. JOSEPH COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 S IRONWOOD DR, SOUTH BEND, IN 46615
(574) 288-5252
Mailing address
915 S IRONWOOD DR, SOUTH BEND, IN 46615-1613
(574) 288-5252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009999
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12009999
INDIANA LICENSE
IN
Enumeration date
07/24/2006
Last updated
05/09/2019
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