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SAN JUAN DENTAL CLINIC PC
NPI 1487024865
Dentist - General Practice in Cortez, CO

Active since September 29, 2015
115 N BEECH ST, CORTEZ, CO 81321(970) 565-4448(970) 565-7211 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Juan Dental Clinic Pc NPPES

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

SAN JUAN DENTAL CLINIC PC (NPI 1487024865) is a healthcare organization registered as a general practice in Cortez, Colorado and active in the NPI registry since September 2015. The organization lists Kenneth Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1487024865
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAN JUAN DENTAL CLINIC PC
Location Address115 N BEECH STCortez, CO 81321-3207
Mailing Address115 N Beech StCortez, CO 81321-3207 · (970) 565-4448 · Fax (970) 565-7211
Phone(970) 565-4448
Fax(970) 565-7211
Organization SubpartNo
Authorized OfficialKenneth CarlsonOwner · (970) 565-4448
Enumeration DateSeptember 29, 2015
✔ NPI 1487024865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
115 N BEECH ST, Cortez, CO 81321
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

DR. KENNETH RAYMOND CARLSON D.D.S.
Dentist (General Practice)
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-4448
SCOTT ARTER
Dentist
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (303) 717-1923
DR. CURTIS PATANA DDS
Dentist
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-7275
DR. JASON KENT SMITH D.D.S.
Dentist (General Practice)
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-4449
DR. EDWARD STUART WALKER DDS
Dentist (General Practice)
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-7275
DR. CHARLES EDWIN HASPELS DDS
Dentist (General Practice)
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-4449
EDWARD STUART WALKER
Dentist (General Practice)
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-7275
AUSTIN T EDDY DMD PLLC
Dentist (General Practice)
115 N BEECH ST
CORTEZ, CO 81321
Montezuma County (970) 565-7275

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 San Juan Dental Clinic PC's NPI number?

The NPI number for San Juan Dental Clinic PC is 1487024865. It was assigned to this organization in the NPPES registry on September 29, 2015.

Where is San Juan Dental Clinic PC located?

San Juan Dental Clinic PC is located at 115 N Beech St, Cortez, CO 81321. The listed phone number is (970) 565-4448.

What is San Juan Dental Clinic PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for San Juan Dental Clinic PC was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.