Organization
RICHARD I. COCKE JR., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD IVANHOE COCKE III D.M.D. (PRESIDENT)
(270) 395-4349
Entity
Organization
Contact information
Practice address
41 INDUSTRIAL PWY, CALVERT CITY, KY 42029
(270) 395-4349
(270) 395-0175
Mailing address
41 INDUSTRIAL PWY, P.O. BOX 625, CALVERT CITY, KY 42029
(270) 395-4349
(270) 395-0175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5127
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60051273
—
KY
Enumeration date
02/12/2007
Last updated
08/22/2020
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