MEDICARE: DR. JOSEPH ROBERT FUNDERBURK DDS

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	10676	CO

General Provider Information

NPI Number	:	1205034949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ROBERT FUNDERBURK DDS

Provider Business Mailing Address
First Line	:	2532 PATTERSON RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-3604
Country	:	US
Telephone Number	:	970-241-2820
Fax Number	:

Provider Business Practice Location Address
First Line	:	2532 PATTERSON RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-3604
Country	:	US
Telephone Number	:	970-241-2820
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	02/28/2013

Similar Medicare Providers

1073622163 — DR. PHILIP J LATTEIER D.D.S.
Practice Location Address:

2532 PATTERSON RD , SUITE 1
GRAND JUNCTION, CO
81505-3604

Practice Phone: 970-243-9292
Practice Fax:

1538591763 — CRESTED OAK DENTISTRY
Practice Location Address:

2532 PATTERSON RD , SUITE 1
GRAND JUNCTION, CO
81505-3604

Practice Phone: 970-241-4800
Practice Fax: 970-241-8266

1033531405 — BRANDY L LUJAN
Practice Location Address:

2532 PATTERSON RD , 12
GRAND JUNCTION, CO
81505-3604

Practice Phone: 970-243-6440
Practice Fax:

1568763118 — ROSCOE FERRIS
Practice Location Address:

8 PEARL ST
ESSEX JUNCTION, VT
05452-3604

Practice Phone: 802-310-7248
Practice Fax:

1679040646 — MR. ERICK JAMES LATTRELL LICSW
Practice Location Address:

10 PEARL ST
ESSEX JUNCTION, VT
05452-3604

Practice Phone: 802-865-3450
Practice Fax:

1972163343 — VERMONT WELLNESS COLLABORATIVE LLC
Practice Location Address:

8 PEARL ST
ESSEX JUNCTION, VT
05452-3604

Practice Phone: 802-497-4864
Practice Fax:

Directions to “ DR. JOSEPH ROBERT FUNDERBURK DDS” 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.