GRAND JUNCTION ORAL SURGERY
NPI 1295179554
Dentist - Oral and Maxillofacial Surgery in Grand Junction, CO

Q: What is Joseph R. Funderburk Dds Professional LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since April 17, 2013

613 25 ROAD, SUITE 1, GRAND JUNCTION, CO 81505(970) 241-2820(970) 248-9553 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Grand Junction Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND JUNCTION ORAL SURGERY (NPI 1295179554) is a healthcare organization registered as an oral and maxillofacial surgery in Grand Junction, Colorado and active in the NPI registry since April 2013. The organization lists Joseph R. Funderburk, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1295179554

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameJOSEPH R. FUNDERBURK DDS PROFESSIONAL LLC

Location Address613 25 ROAD, SUITE 1Grand Junction, CO 81505-3607

Mailing Address613 25 Road, Suite 1Grand Junction, CO 81505-3607 · (970) 241-2820 · Fax (970) 248-9553

Phone(970) 241-2820

Fax(970) 248-9553

Organization SubpartNo

Authorized OfficialJoseph R. FunderburkOwner/doctor · (970) 241-2820

Enumeration DateApril 17, 2013

Last NPPES UpdateOctober 21, 2021

NPPES CertifiedOctober 21, 2021

✔ NPI 1295179554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CO · 10676

Definition

An oral and maxillofacial surgery dentist specialized in 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.

613 25 ROAD, Grand Junction, CO 81505

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Other Names 1

Doing Business AsGrand Junction Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph R. Funderburk Dds Professional LLC's NPI number?

The NPI number for Joseph R. Funderburk Dds Professional LLC is 1295179554. It was assigned to this organization in the NPPES registry on April 17, 2013. The provider is doing business as Grand Junction Oral Surgery.

Where is Joseph R. Funderburk Dds Professional LLC located?

Joseph R. Funderburk Dds Professional LLC is located at 613 25 Road Suite 1, Grand Junction, CO 81505. The listed phone number is (970) 241-2820.

What is Joseph R. Funderburk Dds Professional LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Joseph R. Funderburk Dds Professional LLC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.