| Pagosa Smiles | |
|
51 David Dr Pagosa Springs CO 81147-9440 | |
| (970) 731-3627 | |
| (970) 731-2395 |
| Full Name | Pagosa Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 51 David Dr, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Jack Glenn Rutherford (PRESIDENT) |
| Authorized Official Contact | 9707313627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pagosa Smiles 51 David Dr Pagosa Springs CO 81147-9440 Ph: (970) 731-3627 | Pagosa Smiles 51 David Dr Pagosa Springs CO 81147-9440 Ph: (970) 731-3627 |
| NPI Number | 1063610269 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063610269 | NPI | - | NPPES |
| 04014924 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6065 (Colorado) | Primary |
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Sleep Apnea Solutions Colorado Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Village Dr, Pagosa Springs, CO 81147 Phone: 970-731-2126 Fax: 970-731-2135 | |
Pagosa Peak Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Village Dr, Pagosa Springs, CO 81147 Phone: 216-374-5693 | |
San Juan Dental Hygiene Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Pagosa Street, Pagosa Springs, CO 81147 Phone: 970-264-9436 | |
Pagosa Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 189 Talisman Dr, Suite E, Pagosa Springs, CO 81147 Phone: 970-731-6600 Fax: 970-731-6604 | |
King Campbell, D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Village Dr, Pagosa Springs, CO 81147 Phone: 970-731-2126 Fax: 970-731-2135 |