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NPI Code Detail

MEDICARE: DR. AMY MICHELLE STRATTON DDS

MEDICARE: DR. AMY MICHELLE STRATTON 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
11223G0001XGeneral Practice DentistryBS5130567CO

General Provider Information

NPI Number : 1285653469
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY MICHELLE STRATTON DDS
Provider Business Mailing Address
First Line : 1001 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6047
Country : US
Telephone Number : 970-224-5599
Fax Number : 970-224-0731
Provider Business Practice Location Address
First Line : 1001 CENTRE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6047
Country : US
Telephone Number : 970-224-5599
Fax Number : 970-224-0731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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