Provider Demographics
NPI:1326164989
Name:COCHRAN, DOUGLAS BRIGHAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:BRIGHAM
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29824 N 43RD PL
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-7856
Mailing Address - Country:US
Mailing Address - Phone:770-365-5986
Mailing Address - Fax:
Practice Address - Street 1:3269 SALEM RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-1863
Practice Address - Country:US
Practice Address - Phone:770-922-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist