Colorado Dental Orthodontist Practice, Pllc | |
7685 Mclaughlin Rd Ste 100 Falcon CO 80831-4751 | |
(719) 694-1929 | |
Not Available |
Full Name | Colorado Dental Orthodontist Practice, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 7685 Mclaughlin Rd Ste 100, Falcon, Colorado |
Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5093158338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Colorado Dental Orthodontist Practice, Pllc 7685 Mclaughlin Rd Ste 100 Falcon CO 80831-4751 Ph: () - | Colorado Dental Orthodontist Practice, Pllc 7685 Mclaughlin Rd Ste 100 Falcon CO 80831-4751 Ph: (719) 694-1929 |
NPI Number | 1275116485 |
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Provider Enumeration Date | 05/05/2021 |
Last Update Date | 05/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275116485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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