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JOSEPH R FUNDERBURK DDS NPI 1609479815


NPI Information

NPI: 1609479815
Provider Name: JOSEPH R FUNDERBURK, DDS
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
613 25 RD STE 1
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 241-2820
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JOSEPH R FUNDERBURK, DDS is an oral and maxillofacial surgery dentist in Grand Junction, CO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JOSEPH R FUNDERBURK, DDS NPI is 1609479815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

613 25 RD STE 1
GRAND JUNCTION, CO
ZIP 81505-591
Phone: (970) 241-2820

The provider's authorized official is Joseph Funderburk .
The authorized official title is Dds and has the following contact phone number (970) 241-2820.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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