Vista Ridge Dental Care, LLC

NPI #1053587584 in Erie, Colorado

Provider Information

NPI Number: 1053587584
Entity Type: Organization
Organization Name: Vista Ridge Dental Care, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTALONE PARTNERS, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 5, 2008
Last Updated: Mar 20, 2018

Practice Location

Address: 3140 VILLAGE VISTA DR
Address 2: SUITE 108
City: Erie
State: Colorado
ZIP Code: 80516-2529
Phone: (303) 604-0034

Authorized Official

Name: RACHEL NITTINGER
Title: MANAGER CREDENTIALING
Phone: (972) 755-0816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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