Center Dental Clinic | |
135 6th St Center CO 81125 | |
(719) 754-3584 | |
(719) 754-2392 |
Full Name | Center Dental Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 135 6th St, Center, Colorado |
Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
Authorized Official Contact | 7195895161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center Dental Clinic 128 Market St Alamosa CO 81101-2290 Ph: (719) 589-5161 | Center Dental Clinic 135 6th St Center CO 81125 Ph: (719) 754-3584 |
NPI Number | 1649267741 |
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Provider Enumeration Date | 10/04/2005 |
Last Update Date | 05/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649267741 | NPI | - | NPPES |
9000139245 | Medicaid | CO | |
380030 | Other | CO | DELTA DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |