Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TAOS COUNTY DENTAL LLC
Active
Organization
TAOS COUNTY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE OLSON (REGIONAL HUMAN RESOURCE DIRECTOR)
(719) 344-5693
Entity
Organization
Contact information
Practice address
105 PASEO DEL CANON W STE B, TAOS, NM 87571-6943
(575) 758-3205
(575) 758-3756
Mailing address
105 PASEO DEL CANON W STE B, TAOS, NM 87571-6943
(575) 758-3205
(575) 758-3756
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
202298
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3889262
—
CO
Enumeration date
09/20/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up