| Skyline Dental | |
|
2795 Skyline Ct Grand Junction CO 81506-3908 | |
| (970) 242-3545 | |
| (970) 254-9849 |
| Full Name | Skyline Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2795 Skyline Ct, Grand Junction, Colorado |
| Authorized Official Name and Position | Karl M Kunstadter (PRESIDENT) |
| Authorized Official Contact | 9702423545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Dental 2795 Skyline Ct Grand Junction CO 81506-3908 Ph: (970) 242-3545 | Skyline Dental 2795 Skyline Ct Grand Junction CO 81506-3908 Ph: (970) 242-3545 |
| NPI Number | 1114094414 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114094414 | NPI | - | NPPES |
| 75834235 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 104767 (Colorado) | Primary |
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