| Winter Mountain, Llc | |
|
21 Kings Crossing Road Suite #206 Winter Park CO 80482 | |
| (716) 472-5745 | |
| Not Available |
| Full Name | Winter Mountain, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21 Kings Crossing Road Suite #206, Winter Park, Colorado |
| Authorized Official Name and Position | Joshua Wayne Ricks (OWNER/DENTIST) |
| Authorized Official Contact | 7164725745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Mountain, Llc 21 Kings Crossing Road Suite #206 Winter Park CO 80482 Ph: (716) 472-5745 | Winter Mountain, Llc 21 Kings Crossing Road Suite #206 Winter Park CO 80482 Ph: (716) 472-5745 |
| NPI Number | 1497132294 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497132294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 00202483 (Colorado) | Primary |
Wp Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 King's Crossing #107, Winter Park, CO 80482 Phone: 970-726-5556 | |
Keysdentalco., Pllc Wp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Kings Crossing, Suite 206, Winter Park, CO 80482 Phone: 970-726-8290 | |
Corona Pass Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Kings Crossing Rd, Siute 206, Winter Park, CO 80482 Phone: 970-726-8290 Fax: 970-726-8051 |