LAKE CITY DENTAL CLINIC (NPI# 1376143081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376143081 |
| Entity Type | Organization |
| Organization Name | LAKE CITY DENTAL CLINIC |
| Practice Address |
700 N Henson St Lake City CO 81235-5134 |
| Mailing Address |
Po Box 999 Lake City CO 81235-0999 |
| Practice Telephone | 9709442331 |
| Practice Fax Number | 9709442320 |
| Mailing Telephone | 9709442331 |
| Mailing Fax Number | 9709442320 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | JESSICA WHIDDON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9709442331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000141620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326280553 | Lake City Dental Clinic | Dentist | 700 North Henson St, Lake City, CO 81235-0999 | 2009-04-02 |
| Street Address |
700 N HENSON ST |
| City | LAKE CITY |
| State | CO |
| Zip Code | 81235-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053369595 | Beuford Durmon | Emergency Medicine | 700 N Henson St, Lake City, CO 81235 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174010953 | Teslin Emory Sky Maclaren | Acupuncturist | 811 Highway 149, Unit 6, Lake City, CO 81235 | 2018-04-17 |
| 1164896866 | The Texan Recovery | Psychiatry & Neurology | 860 Co Rd 142, Lake City, CO 81235 | 2015-11-18 |
| 1073959136 | Vernon Taylor Smith | Specialist | 2537 Elk Road, Lake City, CO 81235 | 2013-05-16 |
| 1306823612 | County of Hinsdale | Ambulance | 700 Henson St, Lake City, CO 81235 | 2005-12-28 |
| 1598755423 | Clarity Counseling P.C. | Counselor | 700 Henson St., Lake City, CO 81235 | 2005-10-22 |
| 1679948764 | Texan Resort Recovery LLC | Substance Abuse Rehabilitation Facility | 860 Co Rd 142, Lake City, CO 81235 | 2015-12-01 |
| 1922472059 | Phyllis Mabbett | Psychologist | 860 Co Rd 142, Lake City, CO 81235 | 2015-12-01 |
| 1538655766 | Silver Thread Public Health District | Family Medicine | 304 W. 3rd St, Lake City, CO 81235-0277 | 2018-07-11 |
| 1326280553 | Lake City Dental Clinic | Dentist | 700 North Henson St, Lake City, CO 81235-0999 | 2009-04-02 |
| 1790767192 | Lake Fork Health Services District | Clinic/Center | 700 N Henson, Lake City, CO 81235-0999 | 2005-11-19 |
| Find all providers in zip 81235 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790767192 | Lake Fork Health Services District | Clinic/Center | 700 N Henson, Lake City, CO 81235-0999 | 2005-11-19 |
| 1861654006 | White River Rural Health Center Inc | Clinic/Center | 1009 Highway 18, Lake City, AR 72437-9622 | 2008-06-30 |
| 1114188307 | Pepin Valley Dental | Clinic/Center | 1350 N 7th St, Lake City, MN 55041-1251 | 2008-06-19 |
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|---|---|---|---|---|
| 1528669074 | Red House | Clinic/Center | 440 S Lincoln Ave Ste B10, Steamboat Springs, CO 80487-8935 | 2020-11-02 |
| 1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
| 1205435013 | Kids In Need of Dentistry | Clinic/Center | 4201 E 72nd Ave Unit D, Commerce City, CO 80022-1578 | 2020-10-22 |
| 1619576428 | Kids In Need of Dentistry | Clinic/Center | 925 N Lincoln St Ste B, Denver, CO 80203-2784 | 2020-10-22 |
| 1477151173 | Professional Dental Care of New Mexico | Clinic/Center | 10233 S Parker Rd Ste 107, Parker, CO 80134-9314 | 2020-10-14 |
| 1023615556 | Vida Orthodontics | Clinic/Center | 19551 Hess Rd Unit 110, Parker, CO 80134-3446 | 2020-10-07 |
| 1417554668 | Turner, Pllc | Clinic/Center | 5361 S Gray St, Denver, CO 80123-5110 | 2020-10-01 |
| 1316553860 | Willow Creek Perfect Teeth PC | Clinic/Center | 8150 S Quebec St Ste C, Centennial, CO 80112-3186 | 2020-09-21 |
| 1326653841 | Nic - Denver, Pllc | Clinic/Center | 8000 E Prentice Ave Ste A3, Greenwood Village, CO 80111-2725 | 2020-09-11 |
| 1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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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.