Polson, Preston H

Polson, Preston H is an individual health care provider with primary practice located at 3740 Dacoro Ln Ste 115 , Castle Rock CO 80109-2510. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Polson, Preston H can be contacted via phone (303) 660-5576.

Contact Information

Primary practice address
3740 Dacoro Ln Ste 115 Castle Rock CO 80109-2510
Phone: (303) 660-5576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3456 Idaho
Dental Providers / Dentist 122300000X DEN.00010353 Colorado

Profile Details

NPI number 1316031859
LBN Legal business name Polson, Preston H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316031859 NPPES
Idaho Other 6D964 BLUE CROSS OF IDAHO
Idaho MEDICAID 806115500 BLUE CROSS OF IDAHO
Idaho Other 000010028786 BLUE CROSS OF IDAHO
Idaho Other 1362826 BLUE CROSS OF IDAHO

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