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DR. SIONA MOTUFAU JR. DDS CO NPI 1962892810


NPI Information

NPI: 1962892810
Provider Name: DR. SIONA MOTUFAU JR. DDS CO
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1404 HAWK PKWY UNIT 103
MONTROSE, CO
ZIP 81401
Phone: (970) 615-7500
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DR. SIONA MOTUFAU JR. DDS CO is an oral and maxillofacial surgery clinic center in Montrose, CO. The provider is an oral and maxillofacial surgery clinic or center 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. DR. SIONA MOTUFAU JR. DDS CO NPI is 1962892810. The provider is registered as an organization entity type.

The provider's business location address is:

1404 HAWK PKWY UNIT 103
MONTROSE, CO
ZIP 81401-470
Phone: (970) 615-7500
Fax: (970) 615-7502

The provider's authorized official is Siona Motufau .
The authorized official title is Dentist and has the following contact phone number (970) 615-7500.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 9/8/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental202301COLORADONo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
134533214MEDICAIDCOLORADO

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: 5/5/2024

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