| Fountain Dental Center, Pc | |
|
320 S Santa Fe Ave Fountain CO 80817-1963 | |
| (719) 382-5500 | |
| (719) 382-0944 |
| Full Name | Fountain Dental Center, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 320 S Santa Fe Ave, Fountain, Colorado |
| Authorized Official Name and Position | Glenn Anthony Noble (DENTIST) |
| Authorized Official Contact | 7193825500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Dental Center, Pc 320 S Santa Fe Ave Fountain CO 80817-1963 Ph: (719) 382-5500 | Fountain Dental Center, Pc 320 S Santa Fe Ave Fountain CO 80817-1963 Ph: (719) 382-5500 |
| NPI Number | 1760552491 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760552491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7581 (Colorado) | Primary |
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