| Sunrise Family Dental | |
|
1006 A St Greeley CO 80631-2021 | |
| (970) 353-9403 | |
| Not Available |
| Full Name | Sunrise Family Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1006 A St, Greeley, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Family Dental 2930 11th Ave Evans CO 80620-1011 Ph: (970) 353-9403 | Sunrise Family Dental 1006 A St Greeley CO 80631-2021 Ph: (970) 353-9403 |
| NPI Number | 1699073395 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 05/29/2023 |
| Certification Date | 05/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699073395 | NPI | - | NPPES |
| 84404868 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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