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Contact Information

TELLURIDE DENTAL P.C.
126 WEST COLORADO AVE.
SUITE 203
TELLURIDE, CO81435
 Phone: 970-728-4336
 Fax: 970-369-4386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TELLURIDE DENTAL P.C.

NPI # 1306087622
LBN Legal business name TELLURIDE DENTAL P.C.
Authorized official RYAN GRADY - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2009
Last updated 08/05/2009 - About 17 years ago
Identifiers
CO License # 3000
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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