Monak, Edmund George

Monak, Edmund George is an individual health care provider with primary practice located at 1006 A St , Greeley CO 80631-2021. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Monak, Edmund George can be contacted via phone (970) 352-0048.

Contact Information

Primary practice address
1006 A St Greeley CO 80631-2021
Fax: (970) 352-1120
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8694 Colorado

Profile Details

NPI number 1881643963
LBN Legal business name Monak, Edmund George
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Sep 16th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881643963 NPPES
Colorado MEDICAID 88505774

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