MEDICARE: COLLEEN S QUESADA 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
1	1223G0001X	General Practice Dentistry	18173	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D800279	OTHER	MI	BLUE CROSS BLUE SHIED ID

General Provider Information

NPI Number	:	1912121336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN S QUESADA DMD

Provider Business Mailing Address
First Line	:	PO BOX 309
Second Line	:
City	:	FARWELL
State	:	MI
Zip	:	48622-0309
Country	:	US
Telephone Number	:	989-588-4121
Fax Number	:	989-588-3191

Provider Business Practice Location Address
First Line	:	301 W MAIN ST
Second Line	:
City	:	FARWELL
State	:	MI
Zip	:	48622-8753
Country	:	US
Telephone Number	:	989-588-4121
Fax Number	:	989-588-3191

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1750471868 — JOHN ALLEN DDS
Practice Location Address:

301 W MAIN ST
FARWELL, MI
48622-8753

Practice Phone: 989-588-4121
Practice Fax: 989-588-3191

1982861829 — COLLEEN QUESADA DMD PLLC
Practice Location Address:

301 W MAIN ST
FARWELL, MI
48622-8753

Practice Phone: 989-588-4121
Practice Fax: 989-588-3191

1760788806 — ELIZABETH MARIE WINEGAR D.D.S
Practice Location Address:

301 W MAIN ST
FARWELL, MI
48622-8753

Practice Phone: 989-588-4121
Practice Fax:

1154198273 — FARWELL DENTAL, PLLC
Practice Location Address:

301 W MAIN ST
FARWELL, MI
48622-8753

Practice Phone: 989-588-4121
Practice Fax:

1780682096 — J & A HEALTH CARE SYSTEMS, INC.
Practice Location Address:

2532 W CADILLAC DR
FARWELL, MI
48622-9757

Practice Phone: 989-588-9928
Practice Fax: 989-588-3005

1306866215 — CENTRAL MICHIGAN FAMILY PRACTICE
Practice Location Address:

522 EAST MAIN STREET
FARWELL, MI
48622

Practice Phone: 989-588-6153
Practice Fax: 989-588-6194

Directions to “ COLLEEN S QUESADA DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.