Organization
EAGLERIDGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WOHLWEND DDS (DENTIST)
(719) 542-1212
Entity
Organization
Contact information
Practice address
104 E 6TH ST, WALSENBURG, CO 81089-2020
(719) 738-2544
(719) 738-3747
Mailing address
1044 EAGLERIDGE BLVD, PUEBLO, CO 81008-2130
(719) 542-1212
(719) 544-3854
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10
—
CO
Enumeration date
03/03/2020
Last updated
03/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us