Richard I. Cocke Jr., P.S.C.

LBN: Richard I. Cocke Jr., P.S.C.
Richard I. Cocke Jr., P.S.C. is an health care organization with primary practice located at 41 Industrial Pwy , Calvert City KY 42029. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Richard I. Cocke Jr., P.S.C. can be contacted via phone (270) 395-4349, or through Cocke, Richard Ivanhoe via phone (270) 395-4349.

Contact Information

Primary practice address
41 Industrial Pwy Calvert City KY 42029
Phone: (270) 395-4349
Fax: (270) 395-0175
Website:
Map and Directions
Authorized official contact:
Name: Cocke, Richard Ivanhoe Doctor of Dental Medicine (DMD)
Phone: (270) 395-4349

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5127 Kentucky

Profile Details

NPI number 1912049636
LBN Legal business name Richard I. Cocke Jr., P.S.C.
DBA Doing business as
Authorized official Cocke, Richard Ivanhoe Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912049636 NPPES
Kentucky MEDICAID 60051273

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