Individual
DR. MICHAEL ERIC BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4609 S TIMBERLINE RD STE 104B, FORT COLLINS, CO 80528-3171
(970) 498-0196
(970) 498-0327
Mailing address
4609 S TIMBERLINE RD STE 104B, FORT COLLINS, CO 80528-3171
(970) 498-0196
(970) 498-0327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
73742909922
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS100908
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DEN.00204287
CO
Other
Enumeration date
09/05/2008
Last updated
10/30/2020
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