| Implant And General Dentistry Of Northern Colorado | |
|
2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 | |
| (970) 663-1000 | |
| (970) 663-0615 |
| Full Name | Implant And General Dentistry Of Northern Colorado |
|---|---|
| Speciality | Dentist |
| Location | 2975 Ginnala Dr Ste 100, Loveland, Colorado |
| Authorized Official Name and Position | Theodore Eugene Mioduski (DENTIST) |
| Authorized Official Contact | 9706631000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Implant And General Dentistry Of Northern Colorado 2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 Ph: (970) 663-1000 | Implant And General Dentistry Of Northern Colorado 2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 Ph: (970) 663-1000 |
| NPI Number | 1891749040 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 05/17/2012 |
| Medicare PECOS PAC ID | 2567685456 |
|---|---|
| Medicare Enrollment ID | O20140521002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891749040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CO105715 (Colorado) | Primary |
| 1223G0001X | Dentist - General Practice | CO8285 (Colorado) | Secondary |
Colorado Dental Professionals, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2975 Ginnala Dr Ste 100, Loveland, CO 80538 Phone: 970-443-7117 | |
James M. Oligmueller Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2114 N Lincoln Ave, Suite 201, Loveland, CO 80538 Phone: 970-669-0306 Fax: 970-663-3914 | |
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George W. Holling Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Foxtrail Dr, Suite 100, Loveland, CO 80538 Phone: 970-669-7300 Fax: 970-669-7301 | |
Loveland Dentistry & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 E 29th St, Loveland, CO 80538 Phone: 970-744-2345 Fax: 970-685-4310 | |
Permian Basin Orthodontic Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2730 Kiowa Drive, Loveland, CO 80538 Phone: 432-889-3525 Fax: 432-522-1974 | |
Benchmark Dental Of Loveland, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 E Eisenhower Blvd, Suite 100, Loveland, CO 80537 Phone: 970-667-8782 Fax: 970-686-5623 |