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Dr. Daniel E Boedeker, DDS
Oral and Maxillofacial Surgery (Dentist) in Fort Morgan, Colorado
NPI 1851357149

Daniel E Boedeker is a Oral and Maxillofacial Surgery (Dentist) based in Fort Morgan, CO and is specialized in Oral and Maxillofacial Surgery. Daniel E Boedeker practices in Fort Morgan, CO and has the professional credentials of DDS. The NPI Number for Daniel E Boedeker is 1851357149 and holds a License No. 10147 (Colorado).

The current practice location address for Daniel E Boedeker is 527 W Platte Ave, Fort Morgan, CO and can be reached out via phone at 970-867-4477 and via fax at 970-867-4499.

Location: 527 W Platte Ave, Fort Morgan, CO, 80701-2654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851357149
Provider Name
Daniel E Boedeker
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
527 W Platte Ave, Fort Morgan, CO, 80701-2654
Phone Number
970-867-4477
Fax Number
970-867-4499
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
274452081 01 CO TAX ID
institution
Provider Business Practice Location Address Details
Address
527 W Platte Ave
City
Fort Morgan
State
Colorado
Zip
80701-2654
Phone Number
970-867-4477
Fax Number
970-867-4499
person
Provider Business Mailing Address Details
Address
527 W Platte Ave
City
Fort Morgan
State
Colorado
Zip
80701-2654
Phone Number
970-867-4477
Fax Number
970-867-4499
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
10147 (Colorado)
Definition
The specialty of dentistry which includes 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.
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