| Pagosa Dental Pc | |
|
189 Talisman Dr Suite E Pagosa Springs CO 81147-7916 | |
| (970) 731-6600 | |
| (970) 731-6604 |
| Full Name | Pagosa Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 189 Talisman Dr, Pagosa Springs, Colorado |
| Authorized Official Name and Position | William Frederick Thornell (DENTIST-OWNER) |
| Authorized Official Contact | 9707316600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pagosa Dental Pc 189 Talisman Dr Suite E Pagosa Springs CO 81147-7916 Ph: (970) 731-6600 | Pagosa Dental Pc 189 Talisman Dr Suite E Pagosa Springs CO 81147-7916 Ph: (970) 731-6600 |
| NPI Number | 1497749386 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497749386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Colorado) | Primary |
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