| Elk Avenue Family Dentistry | |
|
412 Elk Ave. Crested Butte CO 81224-1228 | |
| (970) 349-5880 | |
| (970) 349-5880 |
| Full Name | Elk Avenue Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 412 Elk Ave., Crested Butte, Colorado |
| Authorized Official Name and Position | Brock B. Westover (PRESIDENT) |
| Authorized Official Contact | 6012146282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Avenue Family Dentistry Po Box 1228 Crested Butte CO 81224-1228 Ph: (970) 349-5880 | Elk Avenue Family Dentistry 412 Elk Ave. Crested Butte CO 81224-1228 Ph: (970) 349-5880 |
| NPI Number | 1679780993 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679780993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8571 (Colorado) | Primary |
Elk Avenue Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Elk Avenue, Crested Butte, CO 81224 Phone: 970-349-5880 | |
Roxanne Siegrist Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 Red Lady Avenue, Suite 142, Crested Butte, CO 81224 Phone: 970-349-5577 Fax: 970-349-5578 |