MEDICARE: ROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1437094893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS, INC

Provider Business Mailing Address
First Line	:	2270 HIGHWAY 133
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-9271
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2270 HIGHWAY 133
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-9271
Country	:	US
Telephone Number	:	303-450-3690
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PAUL BROWN
Credential	:
Telephone Number	:	303-450-3690

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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