Organization · Type 2 NPI

Joseph R. Funderburk DDS Professional LLC

Oral and Maxillofacial Surgery (Dentist) · Grand Junction, CO

NPI number 1295179554 Active

Practice location

613 25 Road, Suite 1
Grand Junction, CO 81505-3607

Fax (970) 248-9553

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	10676 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Other oral and maxillofacial surgery (dentist) providers in Grand Junction

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NPI record

NPI: 1295179554
Entity type: Organization (Type 2)
Issued: Apr 17, 2013
Last updated: Oct 21, 2021
Status: Active

Other names

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Grand Junction Oral Surgery · doing business as
Grand Junction Oral Surgery · doing business as

Authorized official

Dr. Joseph R. Funderburk, DDS
Owner/doctor
(970) 241-2820

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About NPI 1295179554

Joseph R. Funderburk DDS Professional LLC's National Provider Identifier is 1295179554, issued on Apr 17, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grand Junction, CO. The record was last updated on Oct 21, 2021.