Organization
JOE C. STUCKY, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE C EDWARDS (OFFICE MANAGER)
(970) 249-1898
Entity
Organization
Contact information
Practice address
154 COLORADO AVE, SUITE #201, MONTROSE, CO 81401-3651
(970) 249-1898
(970) 240-3277
Mailing address
154 COLORADO AVE, SUITE #201, MONTROSE, CO 81401-3651
(970) 249-1898
(970) 240-3277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7238
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072387
—
CO
05
—
04019311
—
CO
Enumeration date
09/10/2015
Last updated
09/10/2015
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