| Rocky Mountain Root Canal Specialist, Pllc | |
|
13762 Colorado Blvd Unit 154 Thornton CO 80602-6919 | |
| (303) 916-0381 | |
| Not Available |
| Full Name | Rocky Mountain Root Canal Specialist, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 13762 Colorado Blvd Unit 154, Thornton, Colorado |
| Authorized Official Name and Position | Robert Kirk Mcbride (OWNER/ENDODONTIST) |
| Authorized Official Contact | 3039160381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Root Canal Specialist, Pllc 10 Stewart Ct Erie CO 80516-6884 Ph: (303) 916-0381 | Rocky Mountain Root Canal Specialist, Pllc 13762 Colorado Blvd Unit 154 Thornton CO 80602-6919 Ph: (303) 916-0381 |
| NPI Number | 1972000933 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 04/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972000933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DEN.00010233 (Colorado) | Primary |
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