MEDICARE: DR. JOHN HENRY VOLP JR. 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	1223G0001X	General Practice Dentistry	294	CO

General Provider Information

NPI Number	:	1356353585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HENRY VOLP JR. DDS

Provider Business Mailing Address
First Line	:	8 W DRY CREEK CIR
Second Line	:	SUITE 204
City	:	LITTLETON
State	:	CO
Zip	:	80120-4477
Country	:	US
Telephone Number	:	303-730-0720
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 W DRY CREEK CIR
Second Line	:	SUITE 204
City	:	LITTLETON
State	:	CO
Zip	:	80120-4477
Country	:	US
Telephone Number	:	303-730-0720
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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