Provider Demographics
NPI:1215045992
Name:SETTERBERG, JAMES CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARL
Last Name:SETTERBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:401 23RD STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601
Mailing Address - Country:US
Mailing Address - Phone:970-945-8753
Mailing Address - Fax:970-945-4970
Practice Address - Street 1:401 23RD STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601
Practice Address - Country:US
Practice Address - Phone:970-945-8753
Practice Address - Fax:970-945-4970
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO5126122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist