Evergreen Oral And Maxillofacial Surgery | |
28000 Meadow Dr Unit 110 Evergreen CO 80439-8395 | |
(720) 990-5500 | |
(720) 990-5501 |
Full Name | Evergreen Oral And Maxillofacial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 28000 Meadow Dr Unit 110, Evergreen, Colorado |
Authorized Official Name and Position | Jonathon Jundt (OWNER / SURGEON) |
Authorized Official Contact | 7209905500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evergreen Oral And Maxillofacial Surgery 28000 Meadow Dr Unit 110 Evergreen CO 80439-8395 Ph: (720) 990-5500 | Evergreen Oral And Maxillofacial Surgery 28000 Meadow Dr Unit 110 Evergreen CO 80439-8395 Ph: (720) 990-5500 |
NPI Number | 1225564297 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225564297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEN.00202720 (Colorado) | Primary |
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Matthew A Bunchman, Dmd, Prof Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29723 Troutdale Scenic Dr, Evergreen, CO 80439 Phone: 303-679-6400 | |
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