| Mesa Ridge Dental Center | |
|
6980 Mesa Ridge Parkway Suite 200 Fountain CO 80817 | |
| (719) 392-4231 | |
| (719) 392-9096 |
| Full Name | Mesa Ridge Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6980 Mesa Ridge Parkway, Fountain, Colorado |
| Authorized Official Name and Position | Brittany N Howard (CRED COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Ridge Dental Center 6980 Mesa Ridge Parkway Suite 200 Fountain CO 80817 Ph: (719) 392-4231 | Mesa Ridge Dental Center 6980 Mesa Ridge Parkway Suite 200 Fountain CO 80817 Ph: (719) 392-4231 |
| NPI Number | 1720171564 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720171564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 270 (Colorado) | Primary |
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