1. Home
  2. Directory
  3. Colorado
  4. Durango
  5. Dentist
  6. NPI Profile

SAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC
NPI 1609250810
Dentist - Dentist Anesthesiologist in Durango, CO

Active since July 17, 2015
835 E 2ND AVE, SUITE 270, DURANGO, CO 81301(970) 247-4848(877) 888-7642 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Juan Dental Anesthesia Services, Professional Llc NPPES

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

SAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC (NPI 1609250810) is a healthcare organization registered as a dentist anesthesiologist in Durango, Colorado and active in the NPI registry since July 2015. The organization lists Taylor Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1609250810
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameSAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC
Location Address835 E 2ND AVE, SUITE 270Durango, CO 81301-5475
Mailing Address835 E 2nd Ave, Suite 270Durango, CO 81301-5475 · (970) 247-4848 · Fax (877) 888-7642
Phone(970) 247-4848
Fax(877) 888-7642
Organization SubpartNo
Authorized OfficialTaylor ClarkOwner · (970) 247-4848
Enumeration DateJuly 17, 2015
✔ NPI 1609250810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in CO · 201890
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
835 E 2ND AVE, Durango, CO 81301
Open in Google Maps ↗

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 3

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

MARK F UGAI D.D.S.
Dentist (General Practice)
835 E 2ND AVE, SUITE 270
DURANGO, CO 81301
La Plata County (970) 247-4848
TAYLOR M. CLARK, D.D.S., PROFESSIONAL LLC
Clinic/Center (Dental)
835 E 2ND AVE, SUITE 270
DURANGO, CO 81301
La Plata County (970) 247-4848
SOUTHWEST CENTER FOR INDEPENDENCE
Home Health
835 E 2ND AVE, SUITE 200
DURANGO, CO 81301
La Plata County (970) 259-1672

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 Anesthesia Services, Professional LLC's NPI number?

The NPI number for San Juan Dental Anesthesia Services, Professional LLC is 1609250810. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is San Juan Dental Anesthesia Services, Professional LLC located?

San Juan Dental Anesthesia Services, Professional LLC is located at 835 E 2nd Ave Suite 270, Durango, CO 81301. The listed phone number is (970) 247-4848.

What is San Juan Dental Anesthesia Services, Professional LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for San Juan Dental Anesthesia Services, Professional LLC was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.