Southpark Dental Group Llc is a health care provider in Hartsel, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||3721 Campfire Rd, Hartsel, CO 80449, US|
|Practice Location Phone||719-648-2530|
|Practice Location Fax|
|Legal Business Name||SOUTHPARK DENTAL GROUP LLC|
|Enumeration Date ?||Aug 10, 2018|
|Last Update Date ?||Aug 20, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southpark Dental Group Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. James E Caldwell (DDS)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||719-648-2530|