| Professional Dental Hygiene | |
|
130 W 5th St Suite 118 And 121 Leadville CO 80461-3510 | |
| (719) 486-8285 | |
| Not Available |
| Full Name | Professional Dental Hygiene |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 W 5th St, Leadville, Colorado |
| Authorized Official Name and Position | Melissa Jean Villarreal (MANAGER) |
| Authorized Official Contact | 7194868285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Hygiene Po Box 572 Leadville CO 80461-0572 Ph: (719) 486-8285 | Professional Dental Hygiene 130 W 5th St Suite 118 And 121 Leadville CO 80461-3510 Ph: (719) 486-8285 |
| NPI Number | 1275857203 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 03/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275857203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DH-905202 (Colorado) | Primary |
Leadville Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Us Highway 24, Unit A, Leadville, CO 80461 Phone: 719-486-2060 | |
Summit Community Care Clinic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Harrison Ave, Leadville, CO 80461 Phone: 970-668-4040 Fax: 970-668-6699 |