OrganizationActive
San Juan Dental Anesthesia Services, Professional LLC
NPI 1609250810 · Dental Anesthesiology · Durango, CO
Provider details
- NPI number
- 1609250810
- Entity type
- Organization
- Primary specialty
- Dental AnesthesiologyDental Providers
- Organization subpart
- No
- Authorized official
- Taylor Clark, Owner(970) 247-4848
- License
- 201890 (CO)
Specialties & taxonomies
Dental Providers
Practice location
835 E 2nd Ave
Suite 270
Durango, CO 81301-5475
Phone: (970) 247-4848
Fax: (877) 888-7642
Approximate (ZIP-level) locationGet directions
Mailing address
835 E 2nd Ave
Durango, CO 81301-5475
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2015-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.