Organization
WILLIAM L. KOCHENOUR D.D.S.,M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L KOCHENOUR D.D.S.,M.S. (OWNER/ORTHODONTIST)
(727) 796-2456
Entity
Organization
Contact information
Practice address
3005 ENTERPRISE RD E, CLEARWATER, FL 33759-1304
(727) 796-2456
(727) 796-8364
Mailing address
3005 ENTERPRISE RD E, CLEARWATER, FL 33759-1304
(727) 796-2456
(727) 796-8364
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN13311
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN0008889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072684200-FL
—
FL
Enumeration date
04/01/2010
Last updated
04/01/2010
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