| Richard D. Santi, D.d.s., P.c. | |
|
10 Rupert St Monte Vista CO 81144-1042 | |
| (719) 852-2552 | |
| (719) 852-3742 |
| Full Name | Richard D. Santi, D.d.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 10 Rupert St, Monte Vista, Colorado |
| Authorized Official Name and Position | Richard D Santi (OWNER) |
| Authorized Official Contact | 7198522558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Santi, D.d.s., P.c. 10 Rupert St Monte Vista CO 81144-1042 Ph: (719) 852-2552 | Richard D. Santi, D.d.s., P.c. 10 Rupert St Monte Vista CO 81144-1042 Ph: (719) 852-2552 |
| NPI Number | 1992167704 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992167704 | NPI | - | NPPES |
| 02009801 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 100980 (Colorado) | Primary |
Edward M. Kennedy Health Clinic Dental Clinic Medicare: Medicare Enrolled Practice Location: 925 2nd Ave, Monte Vista, CO 81144 Phone: 719-852-2512 Fax: 719-852-3923 |