| Ridge Street Dental | |
|
213 S. Ridge St Breckenridge CO 80424 | |
| (970) 453-1996 | |
| Not Available |
| Full Name | Ridge Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 213 S. Ridge St, Breckenridge, Colorado |
| Authorized Official Name and Position | Neill Curtis Slack (OWNER) |
| Authorized Official Contact | 9704531996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Street Dental Po Box 5620 Breckenridge CO 80424-5620 Ph: (970) 453-1996 | Ridge Street Dental 213 S. Ridge St Breckenridge CO 80424 Ph: (970) 453-1996 |
| NPI Number | 1225131154 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225131154 | NPI | - | NPPES |
| 1223 | Other | CO | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5521 (Colorado) | Primary |
Breckenridge Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Park Ave, Suite 12, Breckenridge, CO 80424 Phone: 970-453-4585 Fax: 970-513-0494 | |
Nicholas Brown Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 S Ridge Street, Suite 2b, Breckenridge, CO 80424 Phone: 970-688-4782 | |
Breckenridge Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Park Ave, #12a, Breckenridge, CO 80424 Phone: 970-453-4585 |