| Summer Damico, | |
|
52 Village Dr, Pagosa Springs, CO 81147-8368 | |
| (970) 264-2104 | |
| (970) 335-2438 |
| Full Name | Summer Damico |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 52 Village Dr, Pagosa Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063065738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00204054 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | 00204054 (Colorado) | Primary |
| Entity Name | Southwest Colorado Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932192598 PECOS PAC ID: 9133011802 Enrollment ID: O20040326001177 |
| Mailing Address | Practice Location Address |
|---|---|
| Summer Damico, 150 Mercury Village Dr, Durango, CO 81301-8955 Ph: () - | Summer Damico, 52 Village Dr, Pagosa Springs, CO 81147-8368 Ph: (970) 264-2104 |
Dr. Gerlinde Ehni, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 703 San Juan St., Ste. 207, Pagosa Springs, CO 81147 Phone: 970-264-2588 Fax: 970-264-2299 | |
Randall Davis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Pagosa St, Pagosa Springs, CO 81147 Phone: 970-264-9436 | |
J Glenn Rutherford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 51 David Dr, Pagosa Springs, CO 81147 Phone: 970-731-3627 | |
Dr. William Frederick Thornell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 189 Talisman Dr Ste E, Pagosa Springs, CO 81147 Phone: 970-731-6600 Fax: 970-731-6604 | |
Dr. Eric Michael Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 Pagosa St #2336, Pagosa Springs, CO 81147 Phone: 970-264-9436 | |
Dr. Jordan G Rutherford, Dentist Medicare: Not Enrolled in Medicare Practice Location: 51 David Dr, Pagosa Springs, CO 81147 Phone: 970-731-3627 Fax: 970-731-2395 |