ROOT GROOVE PLLC NPI 1225435381

NPI Information

ROOT GROOVE, PLLC is a general practice dentist in Cripple Creek, 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. ROOT GROOVE, PLLC NPI is 1225435381. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gold Rush Dental.

The provider's business location address is:

1101 TELLER COUNTY ROAD 1
CRIPPLE CREEK, CO
ZIP 80813
Phone: (719) 689-3565

The provider's authorized official is Nicole Leadley .
The authorized official title is Owner and has the following contact phone number (719) 352-6633.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.

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:

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