RETRO DENTAL GROUP AVON – NPI #1578004107
Clinic/Center

RETRO DENTAL GROUP AVON is an AHC clinic located in AVON, CO. NPPES has assigned the NPI number 1578004107 to RETRO DENTAL GROUP AVON on March 15, 2017. 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 RETRO DENTAL GROUP AVON below.

NPI Profile for
RETRO DENTAL GROUP AVON

NPI Number
1578004107
Enumeration Date

(more than 9 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
RETRO DENTAL GROUP AVON
Primary location
50 BUCK CREEK RD
SUITE 305
AVON, CO 81620
Phone: (970) 393-5128 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELYSE KESSLER
OWNER
Phone: (970) 393-5128
Updated
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)		 CO 98326

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.