JOSEPH R. FUNDERBURK, DDS, PROFESSIONAL LLC (NPI# 1295179554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295179554 |
| Entity Type | Organization |
| Organization Name | JOSEPH R. FUNDERBURK, DDS, PROFESSIONAL LLC |
| Other Organization Name | GRAND JUNCTION ORAL SURGERY |
| Practice Address |
2532 Patterson Rd Ste 10 Grand Junction CO 81505-3607 |
| Practice Telephone | 9702412820 |
| Practice Fax Number | 9702489553 |
| Mailing Telephone | 9702412820 |
| Mailing Fax Number | 9702489553 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | DR. JOSEPH R. FUNDERBURK (OWNER) |
| Authorized Official Telephone | 9702412820 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10676 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Grand Junction Oral Surgery | Doing Business As Name - Organization |
| Street Address |
2532 PATTERSON RD STE 10 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125127 | Markus Wettstein | Specialist | 2532 Patterson Rd Ste 10, Grand Junction, CO 81505-3607 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356652358 | David Lillian | Dentist | 613 25 Rd, Grand Junction, CO 81505-1590 | 2010-06-24 |
| 1336343573 | Gregory James Hunter | Dentist | 607 25 Rd Ste 100, Grand Junction, CO 81505-1287 | 2007-06-12 |
| 1063639805 | David L Nock | Dentist | 425 Patterson Rd Ste 501, Grand Junction, CO 81506-1910 | 2007-04-20 |
| 1871674069 | Kenneth Eugene Perino | Dentist | 2532 Patterson Road, Suite 10, Grand Junction, CO 81505-1098 | 2006-10-17 |
| 1174768998 | Monument Oral and Facial Surgery, PC | Dentist | 607 25 Rd Ste 100, Grand Junction, CO 81505-1287 | 2008-12-08 |
| 1205034949 | Joseph Robert Funderburk | Dentist | 2532 Patterson Rd, Grand Junction, CO 81505-3604 | 2007-07-03 |
| 1114008224 | Grand Junction Oral Surgery Associates, P.C. | Dentist | 2532 Patterson Rd, Suite 10, Grand Junction, CO 81505-1098 | 2006-10-17 |
| 1528053204 | Stephen S. Kelly | Dentist | 2530 N 8th St, Suite 103, Grand Junction, CO 81501-8857 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
| 1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
| 1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.