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Contact Information

CASEY L KOCHEVAR, DDS
1446 HOVER STREET
SUITE #100
LONGMONT, CO80501
 Phone: 303-684-9777
 Fax: 720-306-3517
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for CASEY L KOCHEVAR · (Male)

NPI Number 1558360073
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/18/2005
Last updated 08/31/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 8471
  • CO License # 8471CO
  • CO Medicaid 78271045
  • CO Medicaid 96800241
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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