| Leadville Dental Center Llc | |
|
733 Us Highway 24 Unit A Leadville CO 80461-3952 | |
| (719) 486-2060 | |
| Not Available |
| Full Name | Leadville Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 733 Us Highway 24, Leadville, Colorado |
| Authorized Official Name and Position | Lance A. Schamberger (OWENER) |
| Authorized Official Contact | 7194862060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leadville Dental Center Llc 733 Us Highway 24 Unit A Leadville CO 80461-3952 Ph: (719) 486-2060 | Leadville Dental Center Llc 733 Us Highway 24 Unit A Leadville CO 80461-3952 Ph: (719) 486-2060 |
| NPI Number | 1346687985 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346687985 | NPI | - | NPPES |
| 05972353 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8682 (Colorado) | Primary |
Professional Dental Hygiene Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W 5th St, Suite 118 And 121, Leadville, CO 80461 Phone: 719-486-8285 | |
Summit Community Care Clinic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Harrison Ave, Leadville, CO 80461 Phone: 970-668-4040 Fax: 970-668-6699 |