| Elk Ridge Dentistry | |
|
131 Stanley Ave Ste 201 Estes Park CO 80517-6356 | |
| (970) 586-5657 | |
| Not Available |
| Full Name | Elk Ridge Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 Stanley Ave Ste 201, Estes Park, Colorado |
| Authorized Official Name and Position | Chad R Brown (OWNER) |
| Authorized Official Contact | 9705865657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Ridge Dentistry 131 Stanley Ave Ste 201 Estes Park CO 80517-6356 Ph: (970) 586-5657 | Elk Ridge Dentistry 131 Stanley Ave Ste 201 Estes Park CO 80517-6356 Ph: (970) 586-5657 |
| NPI Number | 1194247510 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194247510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 202462 (Colorado) | Secondary |
Daniel M Rauk Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S Saint Vrain Ave, Unit 6, Estes Park, CO 80517 Phone: 970-586-9330 Fax: 970-577-0045 |