SAN JUAN SMILES FAMILY DENTISTRY (NPI# 1194135921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194135921 |
| Entity Type | Organization |
| Organization Name | SAN JUAN SMILES FAMILY DENTISTRY |
| Practice Address |
2323 W 2nd Ave Ste A Durango CO 81301-4646 |
| Practice Telephone | 9703757671 |
| Practice Fax Number | 9703751239 |
| Mailing Telephone | 9703757671 |
| Mailing Fax Number | 9703751239 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Authorized Official Name | DR. WILLIAM LACEY (OWNER) |
| Authorized Official Telephone | 9703757671 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8056 | CO | Dental Providers |
| Street Address |
2323 W 2ND AVE STE A |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710470026 | Daniel Yeager | Dentist | 2301 W 2nd Ave Ste A, Durango, CO 81301-4607 | 2018-06-11 |
| 1235591421 | Twin Buttes Dental | Dentist | 125 County Road 250, Durango, CO 81301-8530 | 2016-03-25 |
| 1720454754 | Brendan Vahey | Dentist | 76 Edgemont Highlands Pass, Durango, CO 81301-9301 | 2015-08-13 |
| 1407176019 | Nathan Earl Robison | Dentist | 2323 W 2nd Ave Ste D, Durango, CO 81301-4646 | 2010-06-04 |
| 1215165337 | Kristine E. Hynes | Dentist | 701 Camino Del Rio Ste 316, Axis Oral Health Clinic, Durango, CO 81301-5596 | 2009-06-26 |
| 1508022575 | Bradford A Belt | Dentist | 73 County Road 250 Ste A, Durango, CO 81301-8530 | 2008-07-30 |
| 1144438946 | David Paul Anderson | Dentist | 555 Rivergate, B1-109, Durango, CO 81301-7470 | 2007-05-18 |
| 1003028002 | Kent T. Haynes | Dentist | 143 County Road 250, Durango, CO 81301-8530 | 2007-05-04 |
| 1003039579 | Holly D Sharp | Dentist | 102 1/2 W 18th St, Durango, CO 81301-5010 | 2007-04-11 |
| 1265463673 | William Earl Lacey Jr. | Dentist | 2323 W 2nd Avenue, Ste A, Durango, CO 81301 | 2006-07-05 |
| Find all providers in DURANGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.