Healthcare Provider Details

I. General information

NPI: 1164332292
Provider Name (Legal Business Name): ERIKA GROVER ADAIR RDH, BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 E MAIN ST
MONTROSE CO
81401-4043
US

IV. Provider business mailing address

23184 D50 RD
DELTA CO
81416-7600
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-1543
  • Fax:
Mailing address:
  • Phone: 435-979-2886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH.00206791
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: