| Telluride Dental Pc | |
|
126 West Colorado Ave Suite 203 Telluride CO 81435-3644 | |
| (970) 728-4336 | |
| (970) 369-4386 |
| Full Name | Telluride Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 126 West Colorado Ave, Telluride, Colorado |
| Authorized Official Name and Position | Gary E Conrad (DENTIST/OWNER) |
| Authorized Official Contact | 97107284336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telluride Dental Pc Po Box 3644 Telluride CO 81435-3644 Ph: (970) 728-4336 | Telluride Dental Pc 126 West Colorado Ave Suite 203 Telluride CO 81435-3644 Ph: (970) 728-4336 |
| NPI Number | 1659474955 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659474955 | NPI | - | NPPES |
| 5177 | Other | CO | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Telluride Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 West Colorado Ave., Suite 203, Telluride, CO 81435 Phone: 970-728-4336 Fax: 970-369-4386 | |
Elevated Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Colorado Ave, Suite 202, Telluride, CO 81435 Phone: 970-728-3665 Fax: 970-728-6589 |