Bear River Dental Associates | |
150 West Jackson St Hayden CO 81639 | |
(970) 276-3123 | |
(970) 276-2500 |
Full Name | Bear River Dental Associates |
---|---|
Speciality | Dentist - General Practice |
Location | 150 West Jackson St, Hayden, Colorado |
Authorized Official Name and Position | Nathan Adam Haerr (OWNER DENTIST) |
Authorized Official Contact | 9702763123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bear River Dental Associates Po Box 609 Hayden CO 81639-0609 Ph: (970) 276-3123 | Bear River Dental Associates 150 West Jackson St Hayden CO 81639 Ph: (970) 276-3123 |
NPI Number | 1992929202 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992929202 | NPI | - | NPPES |
67330258 | Medicaid | CO | |
75533731 | Medicaid | CO | |
94670846 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8443 (Colorado) | Primary |
1223G0001X | Dentist - General Practice | 8801 (Colorado) | Secondary |