| Clark L. Scriven, Dds,pc | |
|
629 Holly Dr Sterling CO 80751-4539 | |
| (970) 522-8518 | |
| Not Available |
| Full Name | Clark L. Scriven, Dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 629 Holly Dr, Sterling, Colorado |
| Authorized Official Name and Position | Beth Freeburag (OFFICE MANAGER) |
| Authorized Official Contact | 9705228518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark L. Scriven, Dds,pc 629 Holly Dr Sterling CO 80751-4539 Ph: (970) 522-8518 | Clark L. Scriven, Dds,pc 629 Holly Dr Sterling CO 80751-4539 Ph: (970) 522-8518 |
| NPI Number | 1518127786 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518127786 | NPI | - | NPPES |
| 02007276 | Medicaid | CO | |
| 04019360 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 727 (Colorado) | Primary |
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