Judi, Geoff Douglas
Judi, Geoff Douglas is an individual health care provider with primary practice located at 2356 Quinn St, Bldg 2356 , Fort Carson CO 80913. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Judi, Geoff Douglas can be contacted via phone (719) 526-2200.Contact Information
Primary practice address
2356 Quinn St, Bldg 2356
Fort Carson CO 80913
Phone: (719) 526-2200
Fax: (719) 524-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8259 | Kentucky |
| Dental Providers / General Practice | 1223G0001X | DEN-10426 | Colorado |
Profile Details
| NPI number | 1639159320 |
|---|---|
| LBN Legal business name | Judi, Geoff Douglas |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Apr 18th, 2022 - about 4 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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