PAONIA DENTAL PC – NPI #1790112605
Clinic/Center

PAONIA DENTAL PC is an AHC clinic located in PAONIA, CO. NPPES has assigned the NPI number 1790112605 to PAONIA DENTAL PC on October 09, 2013. 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 PAONIA DENTAL PC below.

NPI Profile for
PAONIA DENTAL PC

NPI Number
1790112605
Enumeration Date

(more than 12 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
PAONIA DENTAL PC
Primary location
402 2ND ST
PAONIA, CO 81428
Phone: (970) 527-4853 Fax: (970) 527-4855
Mailing address
PO BOX 21
PAONIA, CO 81428-0021
Phone: (970) 527-4853 Fax: (970) 527-4855
Organization Subpart
No
Authorized Official
FALON WAISATH
PRESIDENT
Phone: (970) 527-4853
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 202094

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.