| Fort Lupton Dental Group P.c. | |
|
229 Denver Ave Fort Lupton CO 80621-1819 | |
| (303) 857-4377 | |
| Not Available |
| Full Name | Fort Lupton Dental Group P.c. |
|---|---|
| Speciality | Dentist |
| Location | 229 Denver Ave, Fort Lupton, Colorado |
| Authorized Official Name and Position | Irene Margaret Holloma (OWNER DENTIST) |
| Authorized Official Contact | 3038574377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Lupton Dental Group P.c. 229 Denver Ave Fort Lupton CO 80621-1819 Ph: (303) 857-4377 | Fort Lupton Dental Group P.c. 229 Denver Ave Fort Lupton CO 80621-1819 Ph: (303) 857-4377 |
| NPI Number | 1215194543 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215194543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | HD104267 (Colorado) | Primary |
Park Avenue Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Park Ave, Fort Lupton, CO 80621 Phone: 303-857-2258 | |
True Dental Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Copper Pl, Fort Lupton, CO 80621 Phone: 303-990-8550 Fax: 303-990-8550 |