| Kids Care Dental Clinic | |
|
1400 37th St Evans CO 80620-1906 | |
| (970) 348-1112 | |
| (970) 348-1134 |
| Full Name | Kids Care Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1400 37th St, Evans, Colorado |
| Authorized Official Name and Position | Cathy Wolff (CFO) |
| Authorized Official Contact | 9703462546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Care Dental Clinic 2930 11th Ave Evans CO 80620-1011 Ph: () - | Kids Care Dental Clinic 1400 37th St Evans CO 80620-1906 Ph: (970) 348-1112 |
| NPI Number | 1902317274 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 05/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902317274 | NPI | - | NPPES |
| 1902317274 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Colorado) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Monfort Family Clinic- Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 |