| Spring Creek Dental Pllc | |
|
2001 South Shields Street Bldg. C-1 Fort Collins CO 80526 | |
| (970) 482-8883 | |
| (970) 484-9278 |
| Full Name | Spring Creek Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2001 South Shields Street, Fort Collins, Colorado |
| Authorized Official Name and Position | Joel Robert Kaines (DENTIST/OWNER) |
| Authorized Official Contact | 9704828883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Creek Dental Pllc 2001 S Shields St Bldg C1 Fort Collins CO 80526-1827 Ph: (970) 482-8883 | Spring Creek Dental Pllc 2001 South Shields Street Bldg. C-1 Fort Collins CO 80526 Ph: (970) 482-8883 |
| NPI Number | 1780011221 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 12/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780011221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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