Individual
DR. MICHAEL D. COUCHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
2844 CARTER AVE, ASHLAND, KY 41101-1917
(606) 329-1115
(606) 325-4639
Mailing address
2844 CARTER AVE, ASHLAND, KY 41101-1917
(606) 329-1115
(606) 325-4639
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6989
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
34851
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60001054
—
KY
05
—
61900452
—
KY
05
—
64033103
—
KY
05
—
65935769
—
KY
Enumeration date
09/21/2006
Last updated
05/22/2008
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