COMMUNITY DENTAL CLINIC INC. (NPI# 1235664707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235664707 |
Entity Type | Organization |
Organization Name | COMMUNITY DENTAL CLINIC INC. |
Other Organization Name | THE PIC PLACE |
Practice Address |
87 Merchant Dr Montrose CO 81401-3015 |
Mailing Address |
Po Box 52 Montrose CO 81402-0052 |
Practice Telephone | 9702528896 |
Mailing Telephone | 9702528896 |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-07-14 |
Authorized Official Name | MELANIE HALL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9702528896 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The PIC Place | Doing Business As Name - Organization |
Street Address |
87 MERCHANT DR |
City | MONTROSE |
State | CO |
Zip Code | 81401-3015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932175346 | Community Dental Clinic, Inc. | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2006-02-24 |
1083229124 | Rahul Shah | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2020-09-15 |
1518578855 | Nikki Steele | Nurse Practitioner | 87 Merchant Dr, Montrose, CO 81401-3015 | 2020-08-11 |
1801435722 | Courtney Cournan | Dental Hygienist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-12-23 |
1467912089 | Greta Mae Hoffman | Physician Assistant | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-03-20 |
1730644378 | Shannon Faye Neil | Dental Hygienist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-02-07 |
1770057945 | Leonardo Galvez Ramirez | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-01-21 |
1295206860 | Natalie Elizabeth Pacheco | Dental Hygienist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2018-12-07 |
1114432820 | Victoria Valentina Baumann | Counselor | 87 Merchant Dr, Montrose, CO 81401-3015 | 2017-12-05 |
1417403965 | Amiee Rawlings | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2016-08-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
Find all providers in zip 81401 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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1730126558 | Christian Healing Network | Clinic/Center | 2125 E La Salle St, Colorado Springs, CO 80909-2274 | 2006-06-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.