Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Four Corners Smiles 4 Kids, Inc

Organization General Practice Dentistry · NPI 1225364607

Four Corners Smiles 4 Kids, Inc is a General Practice Dentistry in Durango, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1135 S Camino Del Rio Ste 210
Durango, CO 81303-6831
Phone: (970) 247-0202
Fax: (970) 247-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8630 (CO)

Record details

NPI number1225364607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J Mickelson — Owner · (970) 247-0202
NPI enumeratedOctober 20, 2009
Last updated in NPPESOctober 20, 2009
Mailing address1135 S Camino Del Rio, Ste. 210, Durango, CO 81303-6831

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