| Summit Family Dental Of Cortez, Pllc | |
|
111 S Sligo Building A Cortez CO 81321 | |
| (505) 326-6800 | |
| (505) 326-6820 |
| Full Name | Summit Family Dental Of Cortez, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 111 S Sligo, Cortez, Colorado |
| Authorized Official Name and Position | Lisa Hodges (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5057872965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dental Of Cortez, Pllc 111 S Sligo Building A Cortez CO 81321 Ph: (505) 326-6800 | Summit Family Dental Of Cortez, Pllc 111 S Sligo Building A Cortez CO 81321 Ph: (505) 326-6800 |
| NPI Number | 1417366808 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417366808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (New Mexico) | Primary |
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