Bruce Matthew Erickson in Salida - Dentist

Bruce Matthew Erickson - NPI 1659589794

Bruce Matthew Erickson is a Dentist in Salida, Colorado. Bruce Matthew Erickson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Matthew Erickson is 1659589794. The last update date is 2007-07-08.

Bruce Matthew Erickson's current location address is 401 W Rainbow Blvd, Salida, Colorado. You can contact this provider via phone number 7195397655 and fax number 7195398693. The mailing address for Bruce Matthew Erickson is 401 W Rainbow Blvd, Salida, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Matthew Erickson
Address 401 W Rainbow Blvd, Salida, Colorado
Phone Number 7195397655
Fax Number 7195398693
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1659589794
Provider Enumeration Date 2007-05-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 401 W Rainbow Blvd
City Salida
State Colorado (CO)
Post Code 812012235
Phone Number 7195397655
Fax Number 7195398693

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8677
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Bruce Matthew Erickson

What is the unique provider identifier assigned to Bruce Matthew Erickson?

The Bruce Matthew Erickson has been issued the NPI (National Provider Identifier) 1659589794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Bruce Matthew Erickson?

The Bruce Matthew Erickson is physically situated at 401 W Rainbow Blvd, in the city of Salida, state of CO, with the postal code 812012235.

What is Bruce Matthew Erickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bruce Matthew Erickson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

On what date did the Bruce Matthew Erickson receive its 1659589794 assignment from the Centers for Medicare & Medicaid Services?

The Bruce Matthew Erickson was assigned its 1659589794 by the Centers for Medicare & Medicaid Services on 2007-05-21.

As of what date was the information pertaining to Bruce Matthew Erickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bruce Matthew Erickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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