Cochran, Bryan Kent

Cochran, Bryan Kent is an sole proprietor health care provider with primary practice located at 6256 Yellowstone Rd , Cheyenne WY 82009-3432. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Cochran, Bryan Kent can be contacted via phone (402) 483-7631.

Contact Information

Primary practice address
6256 Yellowstone Rd Cheyenne WY 82009-3432
Phone: (402) 483-7631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6377 Nebraska
Dental Providers / General Practice 1223G0001X 1033 Wyoming

Profile Details

NPI number 1255408340
LBN Legal business name Cochran, Bryan Kent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Dec 9th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255408340 NPPES
Wyoming MEDICAID 132246000

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