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NPI Code Detail

MEDICARE: RONALD E. UNTERSEHER, DDS, MS

MEDICARE: RONALD E. UNTERSEHER, DDS, MS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry104908CO

Other Identifiers

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

General Provider Information

NPI Number : 1700363579
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD E. UNTERSEHER, DDS, MS
Provider Business Mailing Address
First Line : 10359 FEDERAL BLVD STE 200
Second Line :
City : WESTMINSTER
State : CO
Zip : 80260-7453
Country : US
Telephone Number : 303-466-1955
Fax Number : 303-466-8100
Provider Business Practice Location Address
First Line : 155 COOK ST STE 451
Second Line :
City : DENVER
State : CO
Zip : 80206-5330
Country : US
Telephone Number : 303-466-1955
Fax Number : 303-466-8100
Authorized Official
Title or Position : OWNER
Name : DR. RONALD UNTERSEHER
Credential : DDS, MS
Telephone Number : 303-466-1955
Provider Enumeration Date : 07/25/2018
Last Update Date : 07/25/2018

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