CASCADE MEDICAL AND DENTAL LLC NPI 1689195836

NPI Information

NPI: 1689195836
Provider Name: CASCADE MEDICAL AND DENTAL LLC

Doing Business As: CASCADE MEDICAL & DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
410 MACON AVE
CANON CITY, CO
ZIP 81212
Phone: (719) 276-0117
Get Directions

CASCADE MEDICAL AND DENTAL LLC is a dental clinic center in Canon City, CO. CASCADE MEDICAL AND DENTAL LLC NPI is 1689195836. The provider is registered as an organization entity type.
The provider Is Doing Business As Cascade Medical & Dental.

The provider's business location address is:

410 MACON AVE
CANON CITY, CO
ZIP 81212-225
Phone: (719) 276-0117

The provider's authorized official is Clinton Scott Timmerman .
The authorized official title is Manager and has the following contact phone number (206) 818-0769.

The enumeration date for this NPI number is 6/28/2017 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DEN.00010745	COLORADO	Yes

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

NPI Synchronization or Removal

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