| Benchmark Dental | |
|
1555 Main St Ste A Windsor CO 80550-5998 | |
| (970) 686-7858 | |
| (970) 686-5623 |
| Full Name | Benchmark Dental |
|---|---|
| Speciality | Dentist |
| Location | 1555 Main St Ste A, Windsor, Colorado |
| Authorized Official Name and Position | Joshua Preston Fowler (OWNER/DENTIST) |
| Authorized Official Contact | 9706867858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benchmark Dental 1555 Main St Ste A Windsor CO 80550-5998 Ph: (970) 686-7858 | Benchmark Dental 1555 Main St Ste A Windsor CO 80550-5998 Ph: (970) 686-7858 |
| NPI Number | 1689966525 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 01/04/2022 |
| Medicare PECOS PAC ID | 5890038525 |
|---|---|
| Medicare Enrollment ID | O20190521003340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689966525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN10414 (Colorado) | Primary |
| Provider Name | Joshua P Fowler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689868705 PECOS PAC ID: 8820378953 Enrollment ID: I20190521003377 |
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