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JOE C. STUCKY DDS PC NPI 1790153500


NPI Information

NPI: 1790153500
Provider Name: JOE C. STUCKY, DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
154 COLORADO AVE
SUITE #201
MONTROSE, CO
ZIP 81401
Phone: (970) 249-1898
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JOE C. STUCKY, DDS, PC is a general practice dentist in Montrose, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JOE C. STUCKY, DDS, PC NPI is 1790153500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

154 COLORADO AVE
SUITE #201
MONTROSE, CO
ZIP 81401-651
Phone: (970) 249-1898
Fax: (970) 240-3277

The provider's authorized official is Lee C Edwards .
The authorized official title is Office Manager and has the following contact phone number (970) 249-1898.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 9/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7238COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102072387MEDICAIDCOLORADO
204019311MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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