Rocky Ford Dental | |
903 S 12th St Rocky Ford CO 81067-2127 | |
(719) 254-7623 | |
(719) 254-5112 |
Full Name | Rocky Ford Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 903 S 12th St, Rocky Ford, Colorado |
Authorized Official Name and Position | Jania Arnoldi (PRESIDENT/CEO) |
Authorized Official Contact | 7195895161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rocky Ford Dental 903 S 12th St Rocky Ford CO 81067-2127 Ph: (719) 254-7623 | Rocky Ford Dental 903 S 12th St Rocky Ford CO 81067-2127 Ph: (719) 254-7623 |
NPI Number | 1871582536 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871582536 | NPI | - | NPPES |
03433561 | Medicaid | CO | |
580030 | Other | CO | DELTA DENTAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rocky Ford Clinic Dental Clinic Medicare: Medicare Enrolled Practice Location: 903 S 12th St, Rocky Ford, CO 81067 Phone: 719-254-7623 Fax: 719-254-5112 |