Four Corners Smiles 4 Kids, Inc. - Dental Clinic in Durango, CO

Four Corners Smiles 4 Kids, Inc. is a dental clinic (Dentist - General Practice) in Durango, Colorado. The current practice location for Four Corners Smiles 4 Kids, Inc. is 1135 S Camino Del Rio, Ste. 210, Durango, Colorado. For appointments, you can reach them via phone at (970) 247-0202. The mailing address for Four Corners Smiles 4 Kids, Inc. is 1135 S Camino Del Rio, Ste. 210, Durango, Colorado and phone number is (970) 247-0202.

Four Corners Smiles 4 Kids, Inc. is licensed to practice in Colorado (license number 8630) and its NPI number is 1225364607. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (970) 247-0202.

Contact Information

Four Corners Smiles 4 Kids, Inc.
1135 S Camino Del Rio
Ste. 210
Durango
CO 81303-6831
(970) 247-0202
(970) 247-0404

Dental Care Clinic Profile

Full NameFour Corners Smiles 4 Kids, Inc.
SpecialityDentist - General Practice
Location1135 S Camino Del Rio, Durango, Colorado
Authorized Official Name and PositionJ Ryan Mickelson (OWNER)
Authorized Official Contact9702470202
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Four Corners Smiles 4 Kids, Inc.
1135 S Camino Del Rio
Ste. 210
Durango
CO 81303-6831

Ph: (970) 247-0202
Four Corners Smiles 4 Kids, Inc.
1135 S Camino Del Rio
Ste. 210
Durango
CO 81303-6831

Ph: (970) 247-0202

NPI Details:

NPI Number1225364607
Provider Enumeration Date10/20/2009
Last Update Date10/20/2009

Medical Identifiers

Medical identifiers for Four Corners Smiles 4 Kids, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225364607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 8630 (Colorado)Primary

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