| Ault Family Dentistry | |
|
120 North 2nd Avenue Ault CO 80610 | |
| (970) 834-2058 | |
| Not Available |
| Full Name | Ault Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 North 2nd Avenue, Ault, Colorado |
| Authorized Official Name and Position | Bradley William Eckhardt (OWNER) |
| Authorized Official Contact | 9708342058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ault Family Dentistry Po Box 1038 Ault CO 80610-1038 Ph: (970) 834-2058 | Ault Family Dentistry 120 North 2nd Avenue Ault CO 80610 Ph: (970) 834-2058 |
| NPI Number | 1003111618 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003111618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN9157 (Colorado) | Primary |