| Craig Kidzdentist Pllc | |
|
1111 W Victory Way Craig CO 81625 | |
| (435) 790-4170 | |
| Not Available |
| Full Name | Craig Kidzdentist Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1111 W Victory Way, Craig, Colorado |
| Authorized Official Name and Position | Kolby Lance (DENTIST) |
| Authorized Official Contact | 4357904170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Kidzdentist Pllc 1111 W Victory Way Craig CO 81625 Ph: (435) 790-4170 | Craig Kidzdentist Pllc 1111 W Victory Way Craig CO 81625 Ph: (435) 790-4170 |
| NPI Number | 1396382727 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396382727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Jason E Shockley Ms, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Pershing St, Craig, CO 81625 Phone: 970-824-9785 Fax: 970-824-2215 | |
Northwest Colorado Visiting Nurse Association Dental Clinic Medicare: Medicare Enrolled Practice Location: 485 Yampa Ave, Craig, CO 81625 Phone: 970-824-8000 | |
Rabbit Ears Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Victory Way Ste 104, Craig, CO 81625 Phone: 970-879-7976 | |
Northwest Colorado Visiting Nurse Association Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 Russell St, Craig, CO 81625 Phone: 970-824-8233 | |
Northwest Colorado Dental Coalition Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Yampa Avenue, Craig, CO 81625 Phone: 970-824-1178 Fax: 970-824-1179 | |
Northwest Colorado Dental Coalition Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Yampa Ave, Craig, CO 81625 Phone: 970-824-8000 |