Organization
ELEVATED DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY DENTON (FRONT OFFICE ADMINISTRATOR)
(970) 728-3665
Entity
Organization
Contact information
Practice address
101 E COLORADO AVE, SUITE 202, TELLURIDE, CO 81435
(970) 728-3665
(970) 728-6589
Mailing address
PO BOX 2439, TELLURIDE, CO 81435-2439
(970) 728-3665
(970) 728-6589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093096315
NON-MEDICARE
CO
Enumeration date
02/25/2019
Last updated
02/25/2019
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