Provider Demographics
NPI:1265245211
Name:JUDE A JOCHAM DDS LLC
Entity type:Organization
Organization Name:JUDE A JOCHAM DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:JOCHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:814-441-3159
Mailing Address - Street 1:26 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6164
Mailing Address - Country:US
Mailing Address - Phone:207-241-4429
Mailing Address - Fax:
Practice Address - Street 1:26 CROSS ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6164
Practice Address - Country:US
Practice Address - Phone:207-241-4429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty