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JMJ III NPI 1083071047


NPI Information

NPI: 1083071047
Provider Name: JMJ III

Doing Business As: FOREST EDGE DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
491 FOREST EDGE RD
WOODLAND PARK, CO
ZIP 80863
Phone: (719) 687-6366
Get Directions

JMJ III is a general practice dentist in Woodland Park, 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. JMJ III NPI is 1083071047. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Forest Edge Dental Care.

The provider's business location address is:

491 FOREST EDGE RD
WOODLAND PARK, CO
ZIP 80863-499
Phone: (719) 687-6366
Fax: (719) 687-6388

The provider's authorized official is Ruth G Bishop .
The authorized official title is Office Manager and has the following contact phone number (719) 687-6366.

The enumeration date for this NPI number is 1/21/2016 and was last updated on 1/21/2016.


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 Practice5676COLORADOYes

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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