| Yampa Valley Family Dentistry | |
|
580 Pershing St Craig CO 81625-3047 | |
| (970) 824-9785 | |
| (970) 824-2215 |
| Full Name | Yampa Valley Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 580 Pershing St, Craig, Colorado |
| Authorized Official Name and Position | Jason E Shockley (DOCTOR) |
| Authorized Official Contact | 9708249785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yampa Valley Family Dentistry 580 Pershing St Craig CO 81625-3047 Ph: (970) 761-3365 | Yampa Valley Family Dentistry 580 Pershing St Craig CO 81625-3047 Ph: (970) 824-9785 |
| NPI Number | 1134613565 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 06/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134613565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN.00203594 (Colorado) | Primary |
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Northwest Colorado Visiting Nurse Association Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 745 Russell St, Craig, CO 81625 Phone: 970-824-8233 | |
Northwest Colorado Dental Coalition Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Yampa Avenue, Craig, CO 81625 Phone: 970-824-1178 Fax: 970-824-1179 | |
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