Richard I. Cocke Jr., P.s.c.

NPI #1912049636 in Calvert City, Kentucky

Provider Information

NPI Number: 1912049636
Entity Type: Organization
Organization Name: Richard I. Cocke Jr., P.s.c.
Primary Specialty: Dentist
Enumeration Date: Feb 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 41 INDUSTRIAL PWY
City: Calvert City
State: Kentucky
ZIP Code: 42029
Phone: (270) 395-4349

Authorized Official

Name: DR. RICHARD IVANHOE COCKE III, D.M.D.
Title: PRESIDENT
Phone: (270) 395-4349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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