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NPI Code Detail

MEDICARE: DR. GEOFF DOUGLAS JUDI DMD

MEDICARE:  DR. GEOFF DOUGLAS JUDI  DMD
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
1122300000XDentist8259KY
21223G0001XGeneral Practice DentistryDEN-10426CO

General Provider Information

NPI Number : 1639159320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFF DOUGLAS JUDI DMD
Provider Business Mailing Address
First Line : 1667 COCHRANE CIR BLDG 7495
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4603
Country : US
Telephone Number : 719-526-2200
Fax Number : 719-524-1204
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 : 719-526-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 02/03/2026

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Directions to “ DR. GEOFF DOUGLAS JUDI DMD” Practice Location

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