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LAKE CITY DENTAL CLINIC
NPI 1376143081
Clinic/Center - Dental in Lake City, CO

Active since October 30, 2020
700 N HENSON ST, LAKE CITY, CO 81235(970) 944-2331(970) 944-2320 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake City Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CITY DENTAL CLINIC (NPI 1376143081) is a healthcare organization registered as a dental in Lake City, Colorado and active in the NPI registry since October 2020. The organization lists Jessica Whiddon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376143081
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKE CITY DENTAL CLINIC
Location Address700 N HENSON STLake City, CO 81235-5134
Mailing AddressPo Box 999Lake City, CO 81235-0999 · (970) 944-2331 · Fax (970) 944-2320
Phone(970) 944-2331
Fax(970) 944-2320
Organization SubpartNo
Authorized OfficialJessica WhiddonExecutive Director · (970) 944-2331
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1376143081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
700 N HENSON ST, Lake City, CO 81235
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Other Identifiers 1

Medicaid9000141620CO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIGHTS PHYSICAL THERAPY LLC
Physical Therapist
700 N HENSON ST
LAKE CITY, CO 81235
Hinsdale County (970) 641-3298
BEUFORD DURMON M.D
Family Medicine
700 N HENSON ST
LAKE CITY, CO 81235
Hinsdale County (970) 944-2331
MRS. SHERRY RAE HUISMAN FNP-BC
Nurse Practitioner (Family)
700 N HENSON ST
LAKE CITY, CO 81235
Hinsdale County (970) 944-2331
AMANDA FENDER PA-C
Physician Assistant
700 N HENSON ST
LAKE CITY, CO 81235
Hinsdale County (970) 944-2331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake City Dental Clinic's NPI number?

The NPI number for Lake City Dental Clinic is 1376143081. It was assigned to this organization in the NPPES registry on October 30, 2020.

Where is Lake City Dental Clinic located?

Lake City Dental Clinic is located at 700 N Henson St, Lake City, CO 81235. The listed phone number is (970) 944-2331.

What is Lake City Dental Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Lake City Dental Clinic was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.