Ridgeline Family Dentistry Pllc | |
11550 Ridgeline Dr Unit 112 Colorado Springs CO 80921-3953 | |
(719) 344-8616 | |
Not Available |
Full Name | Ridgeline Family Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 11550 Ridgeline Dr Unit 112, Colorado Springs, Colorado |
Authorized Official Name and Position | Brian L Tuttle (OWNER) |
Authorized Official Contact | 7852361408 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ridgeline Family Dentistry Pllc 6240 Woodmen Park Vw Colorado Springs CO 80923-2616 Ph: (785) 236-1408 | Ridgeline Family Dentistry Pllc 11550 Ridgeline Dr Unit 112 Colorado Springs CO 80921-3953 Ph: (719) 344-8616 |
NPI Number | 1619718327 |
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Provider Enumeration Date | 06/05/2024 |
Last Update Date | 06/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619718327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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