Provider Demographics
NPI:1407903461
Name:VOYICH, DUSHAN RAJKO (DMD)
Entity Type:Individual
Prefix:DR
First Name:DUSHAN
Middle Name:RAJKO
Last Name:VOYICH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 939
Mailing Address - Street 2:
Mailing Address - City:CRAIG
Mailing Address - State:CO
Mailing Address - Zip Code:81626-0939
Mailing Address - Country:US
Mailing Address - Phone:970-824-6643
Mailing Address - Fax:970-824-8933
Practice Address - Street 1:200 W VICTORY WAY
Practice Address - Street 2:
Practice Address - City:CRAIG
Practice Address - State:CO
Practice Address - Zip Code:81625-2704
Practice Address - Country:US
Practice Address - Phone:970-824-6643
Practice Address - Fax:970-824-8933
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO66071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice