Dudleysuperior Pllc | |
3 Superior Dr Ste 275 Superior CO 80027-8657 | |
(720) 776-3145 | |
Not Available |
Full Name | Dudleysuperior Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 3 Superior Dr Ste 275, Superior, Colorado |
Authorized Official Name and Position | Scott Branin Dudley (OWNER/DENTIST) |
Authorized Official Contact | 2153536654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dudleysuperior Pllc 400 W South Boulder Rd Ste 2500 Lafayette CO 80026-2724 Ph: (303) 875-8896 | Dudleysuperior Pllc 3 Superior Dr Ste 275 Superior CO 80027-8657 Ph: (720) 776-3145 |
NPI Number | 1609641497 |
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Provider Enumeration Date | 11/21/2023 |
Last Update Date | 11/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609641497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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