| Orchard Springs Dental | |
|
410 Macon Ave Canon City CO 81212-3225 | |
| (719) 276-0117 | |
| (719) 276-0653 |
| Full Name | Orchard Springs Dental |
|---|---|
| Speciality | Dentist |
| Location | 410 Macon Ave, Canon City, Colorado |
| Authorized Official Name and Position | Carol Rieg (MANAGER) |
| Authorized Official Contact | 7192760117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Springs Dental 410 Macon St Canon City CO 81212 Ph: (719) 276-0117 | Orchard Springs Dental 410 Macon Ave Canon City CO 81212-3225 Ph: (719) 276-0117 |
| NPI Number | 1194942573 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194942573 | NPI | - | NPPES |
| 88834042 | Medicaid | CO | |
| 17258871 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8336 (Colorado) | Primary |
| 122300000X | Dentist | 106275 (Colorado) | Secondary |
| 122300000X | Dentist | 105973 (Colorado) | Secondary |
Smile Doctors Of Colorado, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Yale Pl, Canon City, CO 81212 Phone: 719-417-5625 | |
K L Hall Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Macon Ave, Canon City, CO 81212 Phone: 719-276-0117 Fax: 719-276-0653 | |
House Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 S 9th St, Canon City, CO 81212 Phone: 719-924-8623 | |
Valley-wide Canon City Dental Clinic Medicare: Medicare Enrolled Practice Location: 121 N 6th St, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-4131 | |
The Pulse School-based Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 1215 Main St Ste B, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-4131 | |
Bradley J. Schluter, D.d.s. Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 210 N 19th St, Canon City, CO 81212 Phone: 719-275-2454 |