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GORE RANGE DENTAL PLLC NPI 1336521996


NPI Information

NPI: 1336521996
Provider Name: GORE RANGE DENTAL, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1625 MINER ST.
IDAHO SPRINGS, CO
ZIP 80452
Phone: (303) 567-4412
Get Directions

GORE RANGE DENTAL, PLLC is a general practice dentist in Idaho Springs, 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. GORE RANGE DENTAL, PLLC NPI is 1336521996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1625 MINER ST.
IDAHO SPRINGS, CO
ZIP 80452
Phone: (303) 567-4412

The provider's authorized official is David J. Drescher .
The authorized official title is Owner and has the following contact phone number (970) 393-2517.

The enumeration date for this NPI number is 6/19/2015 and was last updated on 6/19/2015.


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 Practice8949COLORADOYes

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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