| Colorado Plains Oral & Maxillofacial Surgery P.c. | |
|
527 W Platte Ave Fort Morgan CO 80701-2654 | |
| (970) 768-6869 | |
| (970) 867-4499 |
| Full Name | Colorado Plains Oral & Maxillofacial Surgery P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 527 W Platte Ave, Fort Morgan, Colorado |
| Authorized Official Name and Position | Daniel E Boedeker (OWNER) |
| Authorized Official Contact | 9708674477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Plains Oral & Maxillofacial Surgery P.c. 527 W Platte Ave Fort Morgan CO 80701-2654 Ph: (970) 768-6869 | Colorado Plains Oral & Maxillofacial Surgery P.c. 527 W Platte Ave Fort Morgan CO 80701-2654 Ph: (970) 768-6869 |
| NPI Number | 1568863223 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 09/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568863223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10147 (Colorado) | Primary |
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