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NPI Code Detail

MEDICARE: DR. DAVID GLENN COLLINS D.D.S.

MEDICARE:  DR. DAVID GLENN COLLINS  D.D.S.
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 Dentistry7064CO

General Provider Information

NPI Number : 1346212529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GLENN COLLINS D.D.S.
Provider Business Mailing Address
First Line : 1555 S WADSWORTH BLVD
Second Line : SUITE 1
City : LAKEWOOD
State : CO
Zip : 80232-6832
Country : US
Telephone Number :
Fax Number : 303-986-1869
Provider Business Practice Location Address
First Line : 1555 S WADSWORTH BLVD
Second Line : SUITE 1
City : LAKEWOOD
State : CO
Zip : 80232-6832
Country : US
Telephone Number : 303-986-9522
Fax Number : 303-986-1869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID GLENN COLLINS D.D.S.” Practice Location

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