Healthcare Provider Details

I. General information

NPI: 1346461209
Provider Name (Legal Business Name): DAVE F. PROIETTI,DDS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2558 F RD
GRAND JUNCTION CO
81505-1422
US

IV. Provider business mailing address

2558 F RD
GRAND JUNCTION CO
81505-1422
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-2826
  • Fax: 970-245-3302
Mailing address:
  • Phone: 970-245-2826
  • Fax: 970-245-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DAVE F PROIETTI
Title or Position: OWNER
Credential: DDS
Phone: 970-245-2826