Individual
DR. JOE CHARLES STUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
154 COLORADO AVE, STE 201, MONTROSE, CO 81401-3651
(970) 249-1898
(970) 240-3277
Mailing address
154 COLORADO AVE, STE 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
01
—
02072387
INDIVIDUAL
CO
05
—
04019311
—
CO
Enumeration date
07/28/2006
Last updated
07/09/2007
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