| Fox Creek Family Dental Longmont | |
|
1610 Pace St Unit 100 Longmont CO 80504-2239 | |
| (303) 772-9966 | |
| Not Available |
| Full Name | Fox Creek Family Dental Longmont |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1610 Pace St Unit 100, Longmont, Colorado |
| Authorized Official Name and Position | Ryan Koenig (OWNER) |
| Authorized Official Contact | 3037729966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Creek Family Dental Longmont 1610 Pace St Unit 100 Longmont CO 80504-2239 Ph: (303) 772-9966 | Fox Creek Family Dental Longmont 1610 Pace St Unit 100 Longmont CO 80504-2239 Ph: (303) 772-9966 |
| NPI Number | 1053830737 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053830737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bruce L Session Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Longmont, CO 80501 Phone: 303-776-3030 Fax: 303-776-0312 | |
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