College, Courtney R.

College, Courtney R. is an sole proprietor health care provider with primary practice located at 10146 W San Juan Way Suite 220, Littleton CO 80127-6326. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. College, Courtney R. can be contacted via phone (303) 979-9500.

Contact Information

Primary practice address
10146 W San Juan Way Suite 220 Littleton CO 80127-6326
Fax: (303) 979-0140
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7222 Colorado

Profile Details

NPI number 1811940943
LBN Legal business name College, Courtney R.
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jan 17th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811940943 NPPES
Colorado MEDICAID 71853073

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