Organization
BARRY P SETZER DDS AND STEPHEN D COCHRAN DMD PA
Active
Other names
Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY P SETZER DDS (OWNER CO)
(904) 733-7254
Entity
Organization
Contact information
Practice address
8355 BAYBERRY ROAD, JACKSONVILLE, FL 32256
(904) 733-7254
(904) 731-0144
Mailing address
8355 BAYBERRY ROAD, JACKSONVILLE, FL 32256
(904) 733-7254
(904) 731-0144
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN12667
FL
1223P0221X
Pediatric Dentistry
DN13682
FL
1223P0221X
Pediatric Dentistry
Primary
DN6138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419295A
—
GA
01
—
0763373
MEDICAID
FL
01
—
74810
BCBS
FL
Enumeration date
09/16/2006
Last updated
08/22/2020
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