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Contact Information

COMMUNITY DENTAL CLINIC, INC.
87 MERCHANT DR
MONTROSE, CO81401-3015
 Phone: 970-252-8896
 Fax: 970-240-3095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for COMMUNITY DENTAL CLINIC, INC.

NPI # 1932175346
LBN Legal business name COMMUNITY DENTAL CLINIC, INC.
Authorized official MELANIE HALL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/24/2006
Last updated 10/16/2017 - About 9 years ago
Identifiers
CO Medicaid 06727841
CO Other 2528896 DELTA DENTAL CHP PLUS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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