Leadville Dental Center LLC
Organization Active NPI Dentist · Leadville, CO
NPI 1346687985 · NPPES record last updated May 22, 2013
Key facts
- NPI
- 1346687985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 8682 (CO)
- Legal business name
- LEADVILLE DENTAL CENTER LLC
- Practice address
- 733 US Highway 24
Unit a
Leadville, CO 80461-3952 - Phone
- (719) 486-2060
- NPI assigned
- May 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Lance A. Schamberger, D.D.S.
- Title
- Owener
- Phone
- (719) 486-2060
National Provider Directory
Locations
733 US Highway 24
Unit A
Leadville, CO 80461
Phone (719) 486-2060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 8682 | CO | Yes |
Addresses
Primary practice location
733 US Highway 24
Unit a
Leadville, CO 80461-3952
Mailing address
733 US Highway 24
Unit a
Leadville, CO 80461-3952
Phone (719) 486-2060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05972353 | Medicaid | CO |
Other providers in Leadville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.