| Gregory N Day Dds Oral Surgury Pc | |
|
3902 Sandlewood Ln Suite 110 Pueblo CO 81005-7501 | |
| (719) 561-2440 | |
| (719) 561-0612 |
| Full Name | Gregory N Day Dds Oral Surgury Pc |
|---|---|
| Speciality | Dentist |
| Location | 3902 Sandlewood Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Gregory Nelson Day (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 7195612440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory N Day Dds Oral Surgury Pc 3902 Sandlewood Ln Suite 110 Pueblo CO 81005-7501 Ph: (719) 561-2440 | Gregory N Day Dds Oral Surgury Pc 3902 Sandlewood Ln Suite 110 Pueblo CO 81005-7501 Ph: (719) 561-2440 |
| NPI Number | 1528237641 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/29/2008 |
| Medicare PECOS PAC ID | 9032008248 |
|---|---|
| Medicare Enrollment ID | O20140804001668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528237641 | NPI | - | NPPES |
| 08328544 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6563 (Colorado) | Primary |
| Provider Name | Gregory N Day |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780749176 PECOS PAC ID: 0244129351 Enrollment ID: I20080205000477 |
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