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Southpark Dental Group Llc

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.

physician-icon Basic Information

Practice Location 3721 Campfire Rd, Hartsel, CO 80449, US
Practice Location Phone719-648-2530
Practice Location Fax
Legal Business NameSOUTHPARK DENTAL GROUP LLC
NPI ?1861971772
Entity TypeOrganization
Enumeration Date ? Aug 10, 2018
Last Update Date ? Aug 20, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southpark Dental Group Llc

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice

official-icon Authorized Official of Southpark Dental Group Llc

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/PositionOWNER
Authorized Official Phone Number719-648-2530