Dr Ellen J Son, DMD | |
1250 Valley View Dr, Delta, CO 81416-3138 | |
(970) 874-8981 | |
(855) 299-7586 |
Full Name | Dr Ellen J Son |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 1250 Valley View Dr, Delta, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225217714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS037149 (Pennsylvania) | Secondary |
1223G0001X | Dentist - General Practice | DEN.00203109 (Colorado) | Primary |
Entity Name | Olathe Community Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770834244 PECOS PAC ID: 5395998744 Enrollment ID: O20130806000069 |
Mailing Address | Practice Location Address |
---|---|
Dr Ellen J Son, DMD Po Box 592, Olathe, CO 81425-0592 Ph: (970) 323-6141 | Dr Ellen J Son, DMD 1250 Valley View Dr, Delta, CO 81416-3138 Ph: (970) 874-8981 |
Dr. David E. James, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1004 Main St, Delta, CO 81416 Phone: 970-874-8071 | |
Robert Er Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 257 Main St, Delta, CO 81416 Phone: 970-874-8227 | |
Morgan J Yost, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1435 Mesa View Drive, Delta, CO 81416 Phone: 970-874-8227 Fax: 970-874-7897 | |
Dr. Devon Russell Wilson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 339 Meeker St, Delta, CO 81416 Phone: 970-874-4977 Fax: 970-874-0855 | |
Lloyd Dean Wenzel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4102 Sawmill Mesa Rd, Delta, CO 81416 Phone: 970-874-5830 | |
Kenneth Warren Ostrov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1250 Valley View Dr, Delta, CO 81416 Phone: 970-874-8981 Fax: 855-299-7586 |