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VISTA RIDGE DENTAL CARE LLC NPI 1053587584


NPI Information

NPI: 1053587584
Provider Name: VISTA RIDGE DENTAL CARE, LLC

Doing Business As: VISTA RIDGE DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3140 VILLAGE VISTA DR
SUITE 108
ERIE, CO
ZIP 80516
Phone: (303) 604-0034
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VISTA RIDGE DENTAL CARE, LLC is a general practice dentist in Erie, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. VISTA RIDGE DENTAL CARE, LLC NPI is 1053587584. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vista Ridge Dental Care.

The provider's business location address is:

3140 VILLAGE VISTA DR
SUITE 108
ERIE, CO
ZIP 80516-529
Phone: (303) 604-0034
Fax: (216) 584-1366

The provider's authorized official is Rachel Nittinger .
The authorized official title is Manager Credentialing and has the following contact phone number (972) 755-0816.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 3/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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