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1160 W Ash St Windsor CO 80550-4666 | |
| (970) 686-1186 | |
| (970) 686-1248 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1160 W Ash St, Windsor, Colorado |
| Authorized Official Name and Position | Tyler James Ingersoll (PRESIDENT) |
| Authorized Official Contact | 9706861186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1160 W Ash St Windsor CO 80550-4666 Ph: (970) 686-1186 | 1160 W Ash St Windsor CO 80550-4666 Ph: (970) 686-1186 |
| NPI Number | 1013362276 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013362276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 201837 (Colorado) | Primary |
Noco Ortho Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Main St Unit C, Windsor, CO 80550 Phone: 970-674-0717 | |