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Contact Information

ADVANCED DENTAL SOLUTIONS PC
500 KENNEDY DR
RANGELY, CO81648-3502
 Phone: 303-507-6959
 Fax: 970-675-3355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL SOLUTIONS PC

NPI Number 1457716938
LBN Legal business name ADVANCED DENTAL SOLUTIONS PC
Authorized official KEVIN DAWSON - (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2015
Last updated 12/28/2015 - About 10 years ago
Identifiers
CO License # 8857
CO Medicaid 71789065
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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