Individual
DR. JOHN A COLGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, PSC
Contact information
Practice address
105 KIANA CT, PADUCAH, KY 42001-6787
(270) 534-8776
(270) 534-8780
Mailing address
105 KIANA CT, PADUCAH, KY 42001-6787
(270) 534-8776
(270) 534-8780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1223X6433X
KY
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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