| Altitude Family Dental, Pllc | |
|
35 Lindbergh Dr. Suite 107 Gypsum CO 81637 | |
| (970) 328-6848 | |
| (970) 328-1185 |
| Full Name | Altitude Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 Lindbergh Dr. Suite 107, Gypsum, Colorado |
| Authorized Official Name and Position | Gregory Bert Adair (OWNER) |
| Authorized Official Contact | 9703286848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altitude Family Dental, Pllc Po Box 4370 Gypsum CO 81637-4370 Ph: (970) 328-6848 | Altitude Family Dental, Pllc 35 Lindbergh Dr. Suite 107 Gypsum CO 81637 Ph: (970) 328-6848 |
| NPI Number | 1598235814 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598235814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |