Eastern Plains LLC

Organization Active NPI General Practice Dentistry · Calhan, CO

NPI 1225486293 · NPPES record last updated May 31, 2016

Key facts

NPI
1225486293
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
9448 (CO)
Legal business name
EASTERN PLAINS LLC
Practice address
550 Fifth St.
Calhan, CO 80808
Phone
(719) 347-3212
NPI assigned
May 31, 2016
Organization subpart
No

Authorized official

Name
Dr. Ronald P. Ronco, DMD
Title
Dentist
Phone
(719) 347-3212

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

550 5th St
Calhan, CO 80808
Phone (719) 347-3212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 9448 CO Yes

Addresses

Primary practice location

550 Fifth St.
Calhan, CO 80808

Mailing address

P.O. Box 41
Calhan, CO 80808
Phone (719) 347-3212

Other providers in Calhan, CO

All providers in Calhan, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.