| Four Corners Oral And Maxilliofacial Surgery | |
|
72 Suttle St S# E Durango CO 81303-6829 | |
| (970) 385-5432 | |
| (970) 385-5077 |
| Full Name | Four Corners Oral And Maxilliofacial Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 72 Suttle St, Durango, Colorado |
| Authorized Official Name and Position | Michael Walter Johnson (PRESIDENT) |
| Authorized Official Contact | 9703855432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Oral And Maxilliofacial Surgery 72 Suttle St S# E Durango CO 81303-6829 Ph: (970) 385-5432 | Four Corners Oral And Maxilliofacial Surgery 72 Suttle St S# E Durango CO 81303-6829 Ph: (970) 385-5432 |
| NPI Number | 1104162452 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | C36335 (Colorado) | Primary |
Sleep Solutions Durango Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Mercado St Ste 115, Durango, CO 81301 Phone: 970-382-7780 Fax: 970-375-9143 | |
San Juan Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 W 2nd Ave Ste A, Durango, CO 81301 Phone: 970-375-7671 Fax: 970-375-1239 | |
Four Corners Smiles 4 Kids, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 S Camino Del Rio, Ste. 210, Durango, CO 81303 Phone: 970-247-0202 Fax: 970-247-0404 | |
Taylor M. Clark, D.d.s., Professional Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 E 2nd Ave, Suite 270, Durango, CO 81301 Phone: 970-247-4848 Fax: 970-247-8320 | |
Twin Buttes Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 County Road 250, Durango, CO 81301 Phone: 970-247-0682 | |
Mason O Miner Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Suttle St, Ste H, Durango, CO 81303 Phone: 970-247-2677 Fax: 970-382-9581 |