| San Juan Dental Anesthesia Services, Professional Llc | |
|
835 E 2nd Ave Suite 270 Durango CO 81301-5475 | |
| (970) 247-4848 | |
| (877) 888-7642 |
| Full Name | San Juan Dental Anesthesia Services, Professional Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 835 E 2nd Ave, Durango, Colorado |
| Authorized Official Name and Position | Taylor Clark (OWNER) |
| Authorized Official Contact | 9702474848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Dental Anesthesia Services, Professional Llc 835 E 2nd Ave Suite 270 Durango CO 81301-5475 Ph: (970) 247-4848 | San Juan Dental Anesthesia Services, Professional Llc 835 E 2nd Ave Suite 270 Durango CO 81301-5475 Ph: (970) 247-4848 |
| NPI Number | 1609250810 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609250810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | 201890 (Colorado) | Primary |
Sleep Solutions Durango Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Mercado St Ste 115, Durango, CO 81301 Phone: 970-382-7780 Fax: 970-375-9143 | |
Four Corners Oral And Maxilliofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Suttle St, S# E, Durango, CO 81303 Phone: 970-385-5432 Fax: 970-385-5077 | |
San Juan Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 W 2nd Ave Ste A, Durango, CO 81301 Phone: 970-375-7671 Fax: 970-375-1239 | |
Four Corners Smiles 4 Kids, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 S Camino Del Rio, Ste. 210, Durango, CO 81303 Phone: 970-247-0202 Fax: 970-247-0404 | |
Taylor M. Clark, D.d.s., Professional Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 E 2nd Ave, Suite 270, Durango, CO 81301 Phone: 970-247-4848 Fax: 970-247-8320 | |
Twin Buttes Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 County Road 250, Durango, CO 81301 Phone: 970-247-0682 | |
Mason O Miner Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Suttle St, Ste H, Durango, CO 81303 Phone: 970-247-2677 Fax: 970-382-9581 |