| Jp Dental Implants And Sedation | |
|
2412 Patterson Rd Grand Junction CO 81505-1243 | |
| (970) 243-2025 | |
| Not Available |
| Full Name | Jp Dental Implants And Sedation |
|---|---|
| Speciality | Dentist |
| Location | 2412 Patterson Rd, Grand Junction, Colorado |
| Authorized Official Name and Position | Brandon Rodney Wilcox (PRESIDENT) |
| Authorized Official Contact | 9702432025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jp Dental Implants And Sedation 2412 Patterson Rd Grand Junction CO 81505-1243 Ph: (970) 243-2025 | Jp Dental Implants And Sedation 2412 Patterson Rd Grand Junction CO 81505-1243 Ph: (970) 243-2025 |
| NPI Number | 1851988059 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 08/11/2022 |
| Medicare PECOS PAC ID | 5698178267 |
|---|---|
| Medicare Enrollment ID | O20210825001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851988059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | John P Poovey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841384492 PECOS PAC ID: 4587979042 Enrollment ID: I20200618001043 |
| Provider Name | Brandon R Wilcox |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912136482 PECOS PAC ID: 2062717630 Enrollment ID: I20200708002685 |
| Provider Name | Kevin P Hertich |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083207450 PECOS PAC ID: 8921491127 Enrollment ID: I20220211000341 |
| Provider Name | Jasen Scott Debrine |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366014730 PECOS PAC ID: 4880089010 Enrollment ID: I20220324001647 |
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