Organization · Type 2 NPI
San Juan Dental Anesthesia Services, Professional LLC
Dental Anesthesiology · Durango, CO
Practice location
835 E 2nd Ave, Suite 270
Durango, CO 81301-5475
Fax (877) 888-7642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | 201890 (CO) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
3 other providers at this address
About NPI 1609250810
San Juan Dental Anesthesia Services, Professional LLC's National Provider Identifier is 1609250810, issued on Jul 17, 2015. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Durango, CO. The record was last updated on Jul 17, 2015.