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CARBONDALE FAMILY DENTAL NPI 1265577498


NPI Information

NPI: 1265577498
Provider Name: CARBONDALE FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
889 MAIN CT
CARBONDALE, CO
ZIP 81623
Phone: (970) 963-1616
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CARBONDALE FAMILY DENTAL is a general practice dentist in Carbondale, 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. CARBONDALE FAMILY DENTAL NPI is 1265577498. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

889 MAIN CT
CARBONDALE, CO
ZIP 81623-851
Phone: (970) 963-1616

The provider's authorized official is Bradford Eugene Nicholson .
The authorized official title is Partner and has the following contact phone number (970) 963-1616.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice7907COLORADONo
21223G0001XDentistGeneral Practice104337COLORADOYes

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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