Reece Cochran, DDS
Dentist, Periodontics in Pueblo West, CO. Individual provider (NPI-1).
NPI number1669968202
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1669968202
- Entity type
- Individual (NPI-1)
- Name
- Reece Cochran
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2018
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 203676 | CO | Yes |
| 122300000X | Dentist | 00203676 | CO |
Practice location
332 S Orchard Springs Dr Ste 110Pueblo West, CO 81007-6154
Phone 719-569-5959
Mailing address
332 S Orchard Springs Dr Ste 110Pueblo West, CO 81007-6154
Phone 719-569-5959 · Fax 719-300-5259
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Other Periodontics providers in Pueblo West, CO
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