| Windsor Pediatric Dentistry | |
|
1299 Main St Unit C Windsor CO 80550-5918 | |
| (970) 674-3247 | |
| (970) 460-0865 |
| Full Name | Windsor Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1299 Main St Unit C, Windsor, Colorado |
| Authorized Official Name and Position | Jill Mackenzie Shonka (OWNER/DOCTOR) |
| Authorized Official Contact | 9706743247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windsor Pediatric Dentistry 1576 Main Street Windsor CO 80550 Ph: (970) 674-3247 | Windsor Pediatric Dentistry 1299 Main St Unit C Windsor CO 80550-5918 Ph: (970) 674-3247 |
| NPI Number | 1053690651 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053690651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10346 (Colorado) | Primary |
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