| Miners Family Dental, Llc | |
|
1315 Snowden Ste. 4b Silverton CO 81433 | |
| (505) 634-1501 | |
| Not Available |
| Full Name | Miners Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1315 Snowden Ste. 4b, Silverton, Colorado |
| Authorized Official Name and Position | David Shrum (OWNER) |
| Authorized Official Contact | 5056341501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miners Family Dental, Llc Po Box 448 Blanco NM 87412-0448 Ph: (505) 634-1505 | Miners Family Dental, Llc 1315 Snowden Ste. 4b Silverton CO 81433 Ph: (505) 634-1501 |
| NPI Number | 1366931024 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366931024 | NPI | - | NPPES |
| 000000 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN.00203360 (Colorado) | Primary |