CREEDE DENTAL WORKS PLLC – NPI #1144009689
Clinic/Center

CREEDE DENTAL WORKS PLLC is an AHC clinic located in CREEDE, CO. NPPES has assigned the NPI number 1144009689 to CREEDE DENTAL WORKS PLLC on September 25, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEDE DENTAL WORKS PLLC below.

NPI Profile for
CREEDE DENTAL WORKS PLLC

NPI Number
1144009689
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREEDE DENTAL WORKS PLLC
Primary location
802 RIO GRANDE AVE
CREEDE, CO 81130-5144
Phone: (719) 658-0322 Fax:
Mailing address
PO BOX 408
CREEDE, CO 81130-0408
Phone: (719) 658-0322 Fax:
Organization Subpart
No
Authorized Official
ERIC SMITH
OWNER
Phone: (719) 658-0322
Updated
Certification Date
Sep 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.