Organization · Type 2 NPI

Eagleridge Dental

Dentist · Walsenburg, CO

NPI number 1487288106 Active

Practice location

104 E 6th St
Walsenburg, CO 81089-2020

Fax (719) 738-3747

Mailing address

1044 Eagleridge Blvd
Pueblo, CO 81008-2130

Other practice locations

  • 1044 Eagleridge Blvd, Pueblo, CO 81008-2130 · (719) 542-1212

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

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 requiremen…

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About NPI 1487288106

Eagleridge Dental's National Provider Identifier is 1487288106, issued on Mar 3, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Walsenburg, CO. The record was last updated on Mar 3, 2020.