MEDICARE: ALAN GEORGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	DEN.00206485	CO

General Provider Information

NPI Number	:	1306404959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN GEORGE

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR UNIT MEDDAC
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR UNIT MEDDAC
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:	719-526-5231
Fax Number	:	719-526-4807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2019
Last Update Date	:	02/02/2026

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Directions to “ ALAN GEORGE ” Practice Location

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