MEDICARE: DR. STEPHEN PAULY 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
1	1223P0221X	Pediatric Dentistry	105062	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659379493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN PAULY D.D.S.

Provider Business Mailing Address
First Line	:	1513 RIVERSIDE AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1513 RIVERSIDE AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4348
Country	:	US
Telephone Number	:	970-484-4255
Fax Number	:

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1306844600 — DR. MARK LLEWELLYN KOCHEVAR D.M.D.
Practice Location Address:

1513 RIVERSIDE AVE
FORT COLLINS, CO
80524-4348

Practice Phone: 970-221-5090
Practice Fax: 970-221-1879

1164514725 — DR. CLIFTON DAVISON DDS
Practice Location Address:

1513 RIVERSIDE AVE
FORT COLLINS, CO
80524-4348

Practice Phone: 970-484-4200
Practice Fax: 970-490-1490

1578922159 — MARK L. KOCHEVAR DMD
Practice Location Address:

1513 RIVERSIDE AVE
FORT COLLINS, CO
80524-4348

Practice Phone: 970-221-5090
Practice Fax: 970-221-1879

1013898469 — ADMIRE DENTAL OF FORT COLLINS PLLC
Practice Location Address:

1513 RIVERSIDE AVE UNIT 2
FORT COLLINS, CO
80524-4348

Practice Phone: 970-930-3396
Practice Fax:

1518744838 — ALTACARE LLC
Practice Location Address:

4348 WINTERSTONE DR
FORT COLLINS, CO
80525-5656

Practice Phone: 970-795-2838
Practice Fax:

1225038706 — BRUCE LIPSCHUTZ D.O.
Practice Location Address:

13691 METRO PKWY STE 110B
FORT MYERS, FL
33912-4348

Practice Phone: 239-236-7780
Practice Fax: 239-236-7781

Directions to “ DR. STEPHEN PAULY D.D.S.” 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 © 2007-2025 (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.