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1101 County Rd 1 Cripple Creek CO 80813-8081 | |
| (719) 689-3565 | |
| (719) 689-0153 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1101 County Rd 1, Cripple Creek, Colorado |
| Authorized Official Name and Position | Ruth Bishop (OFFICE MANAGER) |
| Authorized Official Contact | 7196876366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1101 County Road 1 Cripple Creek CO 80813 Ph: (719) 689-3565 | 1101 County Rd 1 Cripple Creek CO 80813-8081 Ph: (719) 689-3565 |
| NPI Number | 1538680178 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538680178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2481 (Colorado) | Primary |
Premier Rural Family Medical & Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Teller County Road 1, Cripple Creek, CO 80813 Phone: 419-508-7686 |