Fun At The Dentist Professional Llc, NPI 1467718155
Pediatric Dentist in Grand Junction, CO, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1467718155 |
| NPI Entity Type | Organization |
| Provider Name | Fun At The Dentist Professional Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2525 N 8th St, Suite 105, Grand Junction, CO, US |
| Provider Mailing Address | 2525 N 8th St, Suite 105, Grand Junction, CO, US, 815018845 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DDS, MS Glen R Dean |
| Official Position | PRESIDENT |
| Phone | 970-255-1111 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Dentist |
| Classification | |
| Group | |
| License No. | 104423 |
| License State | CO |
| Description | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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DR. DC Jacob Burchell Individual |
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DR. DMD Dror J Papir Individual |
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