| Dean E Sandoval, DDS | |
|
1215 N 15th St, Canon City, CO 81212-4620 | |
| (719) 275-5933 | |
| (719) 275-4385 |
| Full Name | Dean E Sandoval |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1215 N 15th St, Canon City, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255419479 | NPI | - | NPPES |
| 02049856 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | HDL-104985 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dean E Sandoval, DDS 1215 N 15th St, Canon City, CO 81212-4620 Ph: (719) 275-5933 | Dean E Sandoval, DDS 1215 N 15th St, Canon City, CO 81212-4620 Ph: (719) 275-5933 |
Phillip Earl Pontious, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1204 Main St, Canon City, Canon City, CO 81212 Phone: 719-275-2887 Fax: 719-275-2761 | |
Dr. Jared M. Smith, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 618 Main St, Canon City, CO 81212 Phone: 719-275-0661 | |
Dr. Bradley J Schluter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 210 N 19th St, Canon City, CO 81212 Phone: 719-275-2454 Fax: 719-275-3098 | |
Dr. John Michael Kearney, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Yale Pl, Canon City, CO 81212 Phone: 719-275-4474 Fax: 719-275-1010 | |
Dr. Terry Joseph Moll, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1201 N 15th St, Canon City, CO 81212 Phone: 719-275-8950 | |
Dr. Clinton Scott Timmerman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 410 Macon Ave, Canon City, CO 81212 Phone: 719-276-0117 |