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NPI Code Detail

MEDICARE: ERIN LEDA JONES RDH

MEDICARE:   ERIN LEDA JONES  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistDH.000903720CO

General Provider Information

NPI Number : 1184149015
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN LEDA JONES RDH
Provider Business Mailing Address
First Line : 1100 HAXTON DR UNIT 100B
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-6213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 HAXTON DR UNIT 100B
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-6213
Country : US
Telephone Number : 970-217-0417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2017
Last Update Date : 08/11/2017

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Directions to “ ERIN LEDA JONES RDH” Practice Location

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