Advanced Dental Solutions PC
Organization Active NPI General Practice Dentistry · Rangely, CO
NPI 1457716938 · NPPES record last updated Dec 28, 2015
Key facts
- NPI
- 1457716938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8857 (CO)
- Legal business name
- ADVANCED DENTAL SOLUTIONS PC
- Practice address
- 500 Kennedy Dr
Rangely, CO 81648-3502 - Phone
- (303) 507-6959
- Fax
- (970) 675-3355
- NPI assigned
- Dec 28, 2015
- Organization subpart
- No
Authorized official
- Name
- Kevin Zundel Dawson
- Title
- DDS
- Phone
- (303) 507-6959
National Provider Directory
Locations
500 Kennedy Dr
Rangely, CO 81648
Phone (303) 507-6959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 8857 | CO | Yes |
Addresses
Primary practice location
500 Kennedy Dr
Rangely, CO 81648-3502
Mailing address
500 Kennedy Dr
Rangely, CO 81648-3502
Phone (303) 507-6959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71789065 | Medicaid | CO |
Other providers in Rangely, CO
- Back to Health Chiropractic of Rangely, Inc.
- Hallie G Blunt
- Makensie Boulger
- Kaitlyn Callahan
- Mercedes Elena Cameron
All providers in Rangely, 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 Dec 28, 2015. 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.