| Lake City Dental Clinic | |
|
700 North Henson St Lake City CO 81235-0999 | |
| (970) 944-2331 | |
| (970) 944-2320 |
| Full Name | Lake City Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 North Henson St, Lake City, Colorado |
| Authorized Official Name and Position | Melanie J Barton (OFFICE MANAGER) |
| Authorized Official Contact | 9709442331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Dental Clinic 700 North Henson St Po Box 999 Lake City CO 81235-0999 Ph: (970) 944-2331 | Lake City Dental Clinic 700 North Henson St Lake City CO 81235-0999 Ph: (970) 944-2331 |
| NPI Number | 1326280553 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326280553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lake City Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Henson St, Lake City, CO 81235 Phone: 970-944-2331 Fax: 970-944-2320 | |
Lake Fork Health Services District Dental Clinic Medicare: Medicare Enrolled Practice Location: 700 N Henson, Lake City, CO 81235 Phone: 970-944-2331 Fax: 970-944-2320 |