Dr Bradley J Schluter, DDS | |
210 N 19th St, Canon City, CO 81212-2423 | |
(719) 275-2454 | |
(719) 275-3098 |
Full Name | Dr Bradley J Schluter |
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Gender | Male |
Speciality | Dentist |
Location | 210 N 19th St, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346558368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 10268 (Colorado) | Primary |
Entity Name | Bradley J. Schluter, D.d.s. Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356886964 PECOS PAC ID: 1153751672 Enrollment ID: O20200424001474 |
Mailing Address | Practice Location Address |
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Dr Bradley J Schluter, DDS 210 N 19th St, Canon City, CO 81212-2423 Ph: (719) 275-2454 | Dr Bradley J Schluter, DDS 210 N 19th St, Canon City, CO 81212-2423 Ph: (719) 275-2454 |
Phillip Earl Pontious, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1204 Main St, Canon City, Canon City, CO 81212 Phone: 719-275-2887 Fax: 719-275-2761 | |
Dean E Sandoval, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1215 N 15th St, Canon City, CO 81212 Phone: 719-275-5933 Fax: 719-275-4385 | |
Dr. Jared M. Smith, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 618 Main St, Canon City, CO 81212 Phone: 719-275-0661 | |
Dr. John Michael Kearney, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 Yale Pl, Canon City, CO 81212 Phone: 719-275-4474 Fax: 719-275-1010 | |
Dr. Terry Joseph Moll, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1201 N 15th St, Canon City, CO 81212 Phone: 719-275-8950 | |
Dr. Clinton Scott Timmerman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 410 Macon Ave, Canon City, CO 81212 Phone: 719-276-0117 |