# DDS VANTAGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295403186
- **Authorized official:** DR. JOHN POOVEY DMD (DDS)
- **Authorized official phone:** (970) 243-2026

## Contact information

- **Practice address:** 2412 PATTERSON RD, GRAND JUNCTION, CO 81505-1243
- **Practice address phone:** (970) 243-2026
- **Mailing address:** 2412 PATTERSON RD, GRAND JUNCTION, CO 81505-1243
- **Mailing address phone:** (970) 243-2026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 292200000X | Dental Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/09/2021