| Scott N. Vandusen, D.d.s. | |
|
1301 N 7th St Suite B Grand Junction CO 81501-3065 | |
| (970) 255-7070 | |
| (970) 255-8070 |
| Full Name | Scott N. Vandusen, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1301 N 7th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Scotty Neil Vandusen (PROPRIETOR) |
| Authorized Official Contact | 9702557070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott N. Vandusen, D.d.s. 1301 N 7th St Suite B Grand Junction CO 81501-3065 Ph: (970) 255-7070 | Scott N. Vandusen, D.d.s. 1301 N 7th St Suite B Grand Junction CO 81501-3065 Ph: (970) 255-7070 |
| NPI Number | 1770738726 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770738726 | NPI | - | NPPES |
| 43604561 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 100986 (Colorado) | Primary |
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