Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANIEL E BOEDEKER, DDS
Active Sole ProprietorDR. DANIEL E BOEDEKER, DDS is a Oral & Maxillofacial Surgery healthcare provider located in FORT MORGAN, Colorado. NPI 1851357149 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FORT MORGAN, CO
Registration Details
- NPI Number
- 1851357149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2006 (20.332098124709 yrs)
- Last Updated
- Oct 18, 2011
- License
-
10147 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
527 W PLATTE AVEFORT MORGAN, CO, 807012654Browse CO providers · Browse ZIP 80701
- Phone
- 9708674477
- Fax
- 9708674499
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.