Dr Jordan Val Kofoed, DDS is a
Dentist based in Dove Creek, Colorado. Dr Jordan Val Kofoed is licensed to practice in Colorado (license number DEN.00203268) and his current practice location is
495 West 4th Street, Dove Creek, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 677-2291.
NPI number for Dr Jordan Val Kofoed is 1780106393 and his current mailing address is Po Box 576, Dove Creek, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780106393.
Healthcare Provider's Profile
| Full Name | Dr Jordan Val Kofoed |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 495 West 4th Street, Dove Creek, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780106393
- Provider Enumeration Date: 07/14/2017
- Last Update Date: 07/14/2017
Medical Identifiers
Medical identifiers for Dr Jordan Val Kofoed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780106393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DEN.00203268 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Val Kofoed is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jordan Val Kofoed, DDS
Po Box 576,
Dove Creek, CO 81324-0576
Ph: (970) 677-2291 | Dr Jordan Val Kofoed, DDS
495 West 4th Street,
Dove Creek, CO 81324
Ph: (970) 677-2291 |
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