James Iven Armbruster II, DMD

Individual provider Active NPI General Practice Dentistry · Sterling, CO

NPI 1720158413 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720158413
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
00998 (CO)
Practice address
501 S 3Rd Ave
Sterling, CO 80751-4030
Phone
(970) 522-1684
Fax
(970) 522-9492
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Opted out of Medicare
Yes, effective Dec 22, 2015 through Dec 22, 2027

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00998COMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00998 CO Yes

Addresses

Primary practice location

501 S 3Rd Ave
Sterling, CO 80751-4030

Mailing address

501 S 3Rd Ave
Sterling, CO 80751-4030
Phone (970) 522-1684

Other providers in Sterling, CO

All providers in Sterling, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.