Miners Family Dental, LLC
Organization Active NPI General Practice Dentistry · Silverton, CO
NPI 1366931024 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1366931024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN.00203360 (CO)
- Legal business name
- MINERS FAMILY DENTAL, LLC
- Practice address
- 1315 Snowden Ste. 4B
Silverton, CO 81433 - Phone
- (505) 634-1501
- NPI assigned
- May 8, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. David Shrum, PHD
- Title
- Owner
- Phone
- (505) 634-1501
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DEN.00203360 | CO | Yes |
Addresses
Primary practice location
1315 Snowden Ste. 4B
Silverton, CO 81433
Mailing address
PO Box 448
Blanco, NM 87412-0448
Phone (505) 634-1505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Medicaid | CO |
Other providers in Silverton, CO
- Megan Brosh
- David Harry Brown
- High Country Remote Care LLC
- Rebecca B Joyce
- Lois Mackenzie
- Mountain Goat Therapy
- Jeff Rome
- Robert Ansley Roof IV
- San Juan County
- Silverton and San Juan Co Clinic
All providers in Silverton, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.