| Haerr Dentistry P.c. | |
|
150 West Jackson St Hayden CO 81639 | |
| (970) 276-3123 | |
| (970) 276-2500 |
| Full Name | Haerr Dentistry P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 West Jackson St, Hayden, Colorado |
| Authorized Official Name and Position | Nathan Adam Haerr (OWNER DENTIST) |
| Authorized Official Contact | 9702763123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haerr Dentistry P.c. Po Box 609 Hayden CO 81639-0609 Ph: (970) 276-3123 | Haerr Dentistry P.c. 150 West Jackson St Hayden CO 81639 Ph: (970) 276-3123 |
| NPI Number | 1992929202 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992929202 | NPI | - | NPPES |
| 67330258 | Medicaid | CO | |
| 75533731 | Medicaid | CO | |
| 94670846 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8801 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | 8443 (Colorado) | Primary |