MEDICARE: DAVID J DRESCHER D.M.D.

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	8949	CO

General Provider Information

NPI Number	:	1659387926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID J DRESCHER D.M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2175
Second Line	:
City	:	VAIL
State	:	CO
Zip	:	81658-2175
Country	:	US
Telephone Number	:	970-949-1513
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 MINER STREET
Second Line	:
City	:	IDAHO SPRINGS
State	:	CO
Zip	:	80452-0277
Country	:	US
Telephone Number	:	303-567-4412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	02/23/2015

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