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NPI Code Detail

MEDICARE: PINE GROVE DENTAL ASSOCIATES

MEDICARE: PINE GROVE DENTAL ASSOCIATES
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
11223G0001XGeneral Practice Dentistry341CO

General Provider Information

NPI Number : 1346308608
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINE GROVE DENTAL ASSOCIATES
Provider Business Mailing Address
First Line : 1475 PINE GROVE ROAD #107
Second Line :
City : STEAMBOAT SPRING
State : CO
Zip : 80487-8803
Country : US
Telephone Number : 970-879-1959
Fax Number : 970-879-1973
Provider Business Practice Location Address
First Line : 1475 PINE GROVE ROAD #107
Second Line :
City : STEAMBOAT SPRING
State : CO
Zip : 80487-8803
Country : US
Telephone Number : 970-879-1959
Fax Number : 970-879-1973
Authorized Official
Title or Position : OWNER
Name : DR. CURTIS JAY COMEAU
Credential : DDS
Telephone Number : 970-879-1959
Provider Enumeration Date : 12/05/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1548286826 — DR. LAURA MORDI M.D.
Practice Location Address:
1475 PINE GROVE RD , SUITE 102
STEAMBOAT SPRINGS, CO
80487-8803
Practice Phone: 970-879-0203
Practice Fax: 970-879-1389
1346263837 — CHRISTOPHER R SPEER MD
Practice Location Address:
1475 PINE GROVE RD , SUITE #102
STEAMBOAT SPRINGS, CO
80487-8803
Practice Phone: 970-879-0203
Practice Fax: 970-879-1389
1326141359 — DR. JAMES R DUDLEY MD
Practice Location Address:
1475 PINE GROVE RD , SUITE 102
STEAMBOAT SPRINGS, CO
80487-8803
Practice Phone: 970-879-0203
Practice Fax: 970-879-1389
1861595852 — DR. KRISTIN B WILSON MD
Practice Location Address:
1475 PINE GROVE RD , SUITE 102
STEAMBOAT SPRINGS, CO
80487-8803
Practice Phone: 970-879-0203
Practice Fax: 970-879-1389
1659474625 — DR. LOUISE A THIELEN MD
Practice Location Address:
1475 PINE GROVE RD , SUITE 102
STEAMBOAT SPRINGS, CO
80487-8803
Practice Phone: 970-879-0203
Practice Fax: 970-879-1389
1134222334 — STEAMBOAT MEDICAL PARTNERS PC
Practice Location Address:
1475 PINE GROVE RD , SUITE #102
STEAMBOAT SPRINGS, CO
80487-8803
Practice Phone: 970-879-0203
Practice Fax: 970-879-1389

Directions to “PINE GROVE DENTAL ASSOCIATES ” Practice Location

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