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General NPI Number Information
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NPI Number | 1487762746
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN SMILES P.C.
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 935 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4876
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Country | US
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Telephone | 970-667-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 935 N LINCOLN AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4876
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Country | US
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Telephone | 970-667-1293
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL R BIGUS
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Credential | D.D.S.
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Telephone | 970-667-1293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS035710
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9131
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License Number State | CO
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