M&M Dental Partnership PLLC
Dentist, General Practice in Gypsum, CO. Organization (NPI-2).
NPI number1609798024
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1609798024
- Entity type
- Organization (NPI-2)
- Legal business name
- M&M Dental Partnership PLLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jun 30, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Elevated Dental - Gypsum (Doing Business As)
Practice location
150 Cooley Mesa RdUnit D
Gypsum, CO 81637
Phone 970-431-6616 · Fax 970-431-6810
Mailing address
Po Box 918Gypsum, CO 81637-0918
Phone 970-431-6616 · Fax 970-431-6810
Authorized official
Justin Michael Moses
Partner/Dentist
9704763991
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