A J Gerathy Jr DMD LLC
Organization Active NPI General Practice Dentistry · Monument, CO
NPI 1871508358 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1871508358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6161 (CO)
- Legal business name
- A J GERATHY JR DMD LLC
- Practice address
- 325 Second Street
Suite a
Monument, CO 80132 - Phone
- (719) 481-4949
- Fax
- (719) 481-4989
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Albert J Gerathy Jr., DMD
- Title
- President
- Phone
- (719) 481-4949
Practitioners 1
-
Bradley Scott Burtwistle, D.D.S.
National Provider Directory
Locations
325 2nd St
Ste A
Monument, CO 80132
Phone (719) 481-4949
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6161 | CO | Yes |
Addresses
Primary practice location
325 Second Street
Suite a
Monument, CO 80132
Mailing address
PO Box 492
Monument, CO 80132
Phone (719) 481-4949
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All providers in Monument, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.