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NPI Code Detail

MEDICARE: CARBONDALE FAMILY DENTAL

MEDICARE: CARBONDALE FAMILY DENTAL
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
1332BC3200XCustomized Equipment (DME)
21223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1265577498
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARBONDALE FAMILY DENTAL
Provider Business Mailing Address
First Line : 889 MAIN CT
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-1851
Country : US
Telephone Number : 970-963-1616
Fax Number :
Provider Business Practice Location Address
First Line : 889 MAIN CT
Second Line :
City : CARBONDALE
State : CO
Zip : 81623-1851
Country : US
Telephone Number : 970-963-1616
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ANDREW NARDECCHIA
Credential : DDS
Telephone Number : 970-963-1616
Provider Enumeration Date : 02/21/2007
Last Update Date : 05/13/2025

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Directions to “CARBONDALE FAMILY DENTAL ” Practice Location

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