Just For Grins Llc | |
6436 S Us Highway 85-87 Suite C Fountain CO 80817 | |
(719) 392-5111 | |
(719) 392-4143 |
Full Name | Just For Grins Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 6436 S Us Highway 85-87, Fountain, Colorado |
Authorized Official Name and Position | Tim Montano (BUSINESS MANAGER) |
Authorized Official Contact | 7193925111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Just For Grins Llc 6436 S Us Highway 85-87 Suite C Fountain CO 80817-1005 Ph: (719) 392-5111 | Just For Grins Llc 6436 S Us Highway 85-87 Suite C Fountain CO 80817 Ph: (719) 392-5111 |
NPI Number | 1205028941 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 05/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205028941 | NPI | - | NPPES |
31100058 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8170 (Colorado) | Primary |
New Beginnings Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Santa Fe Ave, Suite B, Fountain, CO 80817 Phone: 719-391-4373 Fax: 719-391-9084 | |
Imagine Kids Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Camden Blvd, Fountain, CO 80817 Phone: 719-722-4999 | |
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