Healthcare Provider Details

I. General information

NPI: 1952721037
Provider Name (Legal Business Name): TRUE GRIN DENTAL HYGIENE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 S NEVADA AVE
MONTROSE CO
81401-4234
US

IV. Provider business mailing address

236 S 3RD ST # 294
MONTROSE CO
81401-3618
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-4746
  • Fax: 970-249-1344
Mailing address:
  • Phone: 970-249-4746
  • Fax: 970-249-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDH200841
License Number StateCO

VIII. Authorized Official

Name: MARGARET LILLIAN SPENCER
Title or Position: OWNER/ HYGIENIST
Credential: RDH
Phone: 970-249-4746