| Pioneer Dental Services, Pllc | |
|
340 Justin Ave Ste 102 Platteville CO 80651-7819 | |
| (970) 785-6280 | |
| Not Available |
| Full Name | Pioneer Dental Services, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 340 Justin Ave Ste 102, Platteville, Colorado |
| Authorized Official Name and Position | Bryan Marshall (OWNER) |
| Authorized Official Contact | 3522790376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Dental Services, Pllc 479 Josephine St Denver CO 80206-4208 Ph: () - | Pioneer Dental Services, Pllc 340 Justin Ave Ste 102 Platteville CO 80651-7819 Ph: (970) 785-6280 |
| NPI Number | 1104449818 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104449818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Platteville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Justin Ave, Suite 120, Platteville, CO 80651 Phone: 970-590-6205 |