| Monfort Family Clinic- Dental | |
|
2930 11th Ave Evans CO 80620-1011 | |
| (970) 353-9403 | |
| Not Available |
| Full Name | Monfort Family Clinic- Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2930 11th Ave, Evans, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monfort Family Clinic- Dental 2930 11th Ave Ste B Evans CO 80620-1011 Ph: (970) 353-9403 | Monfort Family Clinic- Dental 2930 11th Ave Evans CO 80620-1011 Ph: (970) 353-9403 |
| NPI Number | 1184466492 |
|---|---|
| Provider Enumeration Date | 06/07/2024 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184466492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Kids Care Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 37th St, Evans, CO 80620 Phone: 970-348-1112 Fax: 970-348-1134 |