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1555 Main St Ste A Windsor CO 80550-5998 | |
(970) 686-7858 | |
(970) 686-5623 |
Full Name | |
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Speciality | Dentist - General Practice |
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 | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1555 Main St Ste A Windsor CO 80550-5998 Ph: (970) 686-7858 | 1555 Main St Ste A Windsor CO 80550-5998 Ph: (970) 686-7858 |
NPI Number | 1689966525 |
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Provider Enumeration Date | 05/11/2011 |
Last Update Date | 01/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689966525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN10414 (Colorado) | Primary |
Noco Ortho Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Main St Unit C, Windsor, CO 80550 Phone: 970-674-0717 | |