Colgan, Justin
Colgan, Justin is an individual health care provider with primary practice located at 2850 Lone Oak Rd Ste 1 , Paducah KY 42003-8043. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Colgan, Justin can be contacted via phone (270) 554-3131.Contact Information
Primary practice address
2850 Lone Oak Rd Ste 1
Paducah KY 42003-8043
Phone: (270) 554-3131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10050 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10050 | Kentucky |
Profile Details
| NPI number | 1578911087 |
|---|---|
| LBN Legal business name | Colgan, Justin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2016 |
| Last updated | Mar 30th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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