| Gold Rush Dental | |
|
1101 Teller County Road 1 Cripple Creek CO 80813 | |
| (719) 689-3565 | |
| Not Available |
| Full Name | Gold Rush Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1101 Teller County Road 1, Cripple Creek, Colorado |
| Authorized Official Name and Position | Nicole Leadley (OWNER) |
| Authorized Official Contact | 7193526633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Rush Dental P.o. Box 296 Cripple Creek CO 80813 Ph: (719) 689-3565 | Gold Rush Dental 1101 Teller County Road 1 Cripple Creek CO 80813 Ph: (719) 689-3565 |
| NPI Number | 1225435381 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225435381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10245 (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 | |
Forest Edge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 County Rd 1, Cripple Creek, CO 80813 Phone: 719-689-3565 Fax: 719-689-0153 |