Provider Demographics
NPI:1861986804
Name:JAMES C. POCHRON DDS PA
Entity type:Organization
Organization Name:JAMES C. POCHRON DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:POCHRON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-643-4700
Mailing Address - Street 1:116 S PINEY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21619-2787
Mailing Address - Country:US
Mailing Address - Phone:410-643-4700
Mailing Address - Fax:
Practice Address - Street 1:116 S PINEY RD STE 202
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:MD
Practice Address - Zip Code:21619-2787
Practice Address - Country:US
Practice Address - Phone:410-643-4700
Practice Address - Fax:410-643-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty