| Taos County Dental Llc | |
|
105 Paseo Del Canon W Ste B Taos NM 87571-6943 | |
| (575) 758-3205 | |
| (575) 758-3756 |
| Full Name | Taos County Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Paseo Del Canon W Ste B, Taos, New Mexico |
| Authorized Official Name and Position | Michelle Olson (REGIONAL HUMAN RESOURCE DIRECTOR) |
| Authorized Official Contact | 7193445693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taos County Dental Llc 105 Paseo Del Canon W Ste B Taos NM 87571-6943 Ph: (575) 758-3205 | Taos County Dental Llc 105 Paseo Del Canon W Ste B Taos NM 87571-6943 Ph: (575) 758-3205 |
| NPI Number | 1881103026 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881103026 | NPI | - | NPPES |
| 3889262 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 202298 (Colorado) | Primary |
Northern Nm Center For Cosmetic Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd, Suite A, Taos, NM 87571 Phone: 575-751-9661 Fax: 575-751-9689 | |
Taos Family Dentistry, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 Gusdorf Rd Ste A, Taos, NM 87571 Phone: 505-751-9333 | |
Dr Clay N Coleman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Cruz Alta Rd, Suite Fe, Taos, NM 87571 Phone: 505-758-9338 Fax: 505-758-0705 | |
Keep On Smiling Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Paseo Del Canon W Ste B, Taos, NM 87571 Phone: 575-758-7337 Fax: 575-751-0348 | |
Rio Grande Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Plaza Garcia, #e-10, Taos, NM 87571 Phone: 505-758-0531 | |
Taos Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1392 Weimer Rd, Taos, NM 87571 Phone: 575-758-8654 Fax: 575-737-0970 | |
C. Tom Simms, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1392 Weimer Rd, Suite B, Taos, NM 87571 Phone: 505-758-8303 Fax: 505-737-5737 |