Colorado Dental Orthodontist Practice, Pllc | |
8085 Fountain Mesa Rd Fountain CO 80817-1591 | |
(719) 382-5500 | |
Not Available |
Full Name | Colorado Dental Orthodontist Practice, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 8085 Fountain Mesa Rd, Fountain, 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 8085 Fountain Mesa Rd Fountain CO 80817-1591 Ph: () - | Colorado Dental Orthodontist Practice, Pllc 8085 Fountain Mesa Rd Fountain CO 80817-1591 Ph: (719) 382-5500 |
NPI Number | 1902489123 |
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Provider Enumeration Date | 05/05/2021 |
Last Update Date | 05/05/2021 |
Identifier | Type | State | Issuer |
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1902489123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Just For Grins Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6436 S Us Highway 85-87, Suite C, Fountain, CO 80817 Phone: 719-392-5111 Fax: 719-392-4143 | |
New Beginnings Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Santa Fe Ave, Suite B, Fountain, CO 80817 Phone: 719-391-4373 Fax: 719-391-9084 | |
Imagine Kids Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Camden Blvd, Fountain, CO 80817 Phone: 719-722-4999 | |
Johnson And Associates Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Plaza Blvd, Fountain, CO 80817 Phone: 719-392-4201 Fax: 719-391-7873 |