| Fountain Dental Center P.c. | |
|
8085 Fountain Mesa Rd Fountain CO 80817-1591 | |
| (719) 382-5500 | |
| (719) 382-0944 |
| Full Name | Fountain Dental Center P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8085 Fountain Mesa Rd, Fountain, Colorado |
| Authorized Official Name and Position | Kendall B Skinner (OWNER) |
| Authorized Official Contact | 7193825500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Dental Center P.c. 8085 Fountain Mesa Rd Fountain CO 80817-1591 Ph: (719) 382-5500 | Fountain Dental Center P.c. 8085 Fountain Mesa Rd Fountain CO 80817-1591 Ph: (719) 382-5500 |
| NPI Number | 1922422633 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922422633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10691 (Colorado) | Primary |
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