Eagle River Dentistry in Edwards - Dental
Eagle River Dentistry - NPI 1821262361
Eagle River Dentistry is a Dental in Edwards, Colorado. Eagle River Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Eagle River Dentistry is 1821262361. The last update date is 2008-04-16.
Eagle River Dentistry's current location address is Po Box 1478, Edwards, Colorado. You can contact this provider via phone number 9709261519 and fax number 9709261044. The mailing address for Eagle River Dentistry is Po Box 1478, Edwards, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle River Dentistry |
|---|---|
| Address | Po Box 1478, Edwards, Colorado |
| Phone Number | 9709261519 |
| Fax Number | 9709261044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Raichart Suzanne Shelly |
| Credentials | DDS |
| Telephone Number | 9709261519 |
NPI Number Detail
| NPI Number | 1821262361 |
|---|---|
| Provider Enumeration Date | 2008-04-16 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | Po Box 1478 |
|---|---|
| City | Edwards |
| State | Colorado (CO) |
| Post Code | 816321478 |
| Phone Number | 9709261519 |
| Fax Number | 9709261044 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 7209 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to Eagle River Dentistry by the Centers for Medicare & Medicaid Services?
The Eagle River Dentistry has been assigned the NPI (National Provider Identifier) 1821262361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Eagle River Dentistry located?
The Eagle River Dentistry is located at Po Box 1478, Edwards, CO 816321478.
What is Eagle River Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eagle River Dentistry is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
When was the Eagle River Dentistry's 1821262361 issued?
The Eagle River Dentistry's 1821262361 was issued on 2008-04-16.
As of what date were the Eagle River Dentistry's details last updated?
The information pertaining to the Eagle River Dentistry, including its address, specialty, and other details, was most recently updated on 2008-04-16.