Individual provider · Type 1 NPI
Daniel E. Boedeker, DDS
Oral and Maxillofacial Surgery (Dentist) · Fort Morgan, CO
NPI number
1851357149
Active
Practice location
527 W Platte Ave
Fort Morgan, CO 80701-2654
Fax (970) 867-4499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10147 (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.
Another provider at this address
About NPI 1851357149
Daniel E. Boedeker, DDS's National Provider Identifier is 1851357149, issued on Apr 25, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Morgan, CO. The record was last updated on Oct 18, 2011.