| Courtney R. College, Dds, Ms, Pc | |
|
31955 Castle Ct Evergreen CO 80439-3508 | |
| (303) 674-0779 | |
| (303) 979-0140 |
| Full Name | Courtney R. College, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 31955 Castle Ct, Evergreen, Colorado |
| Authorized Official Name and Position | Courtney R. College (PRESIDENT) |
| Authorized Official Contact | 3036740779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney R. College, Dds, Ms, Pc 31955 Castle Ct Evergreen CO 80439-3508 Ph: (303) 674-0779 | Courtney R. College, Dds, Ms, Pc 31955 Castle Ct Evergreen CO 80439-3508 Ph: (303) 674-0779 |
| NPI Number | 1780276873 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780276873 | NPI | - | NPPES |
| 02072221 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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