Bruce Erickson, D.D.S., PC

Organization Active NPI General Practice Dentistry · Salida, CO

NPI 1316155369 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1316155369
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
8677 (CO)
Legal business name
BRUCE ERICKSON, D.D.S., PC
Practice address
401 W Rainbow Blvd
Salida, CO 81201-2235
Phone
(719) 539-7655
Fax
(719) 539-8693
NPI assigned
May 21, 2007
Organization subpart
No

Authorized official

Name
Bruce Matthew Erickson, D.D.S.
Title
President and Owner
Phone
(719) 539-7655

Practitioners 1

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

National Provider Directory

Locations

401 W Rainbow Blvd
Salida, CO 81201
Phone (719) 539-7655

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 8677 CO Yes

Addresses

Primary practice location

401 W Rainbow Blvd
Salida, CO 81201-2235

Mailing address

401 W Rainbow Blvd
Salida, CO 81201-2235
Phone (719) 539-7655

Other providers in Salida, CO

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

Sources for this page

Verify at the official NPI Registry.