Four Corners Smiles 4 Kids, Inc.
Dental Clinic
1135 S Camino Del Rio, Ste. 210, Durango
Colorado, 81303-6831
970-247-0202 970-247-0404
Maps & DirectionsFour Corners Smiles 4 Kids, Inc. is a Dental Clinic in Durango, Colorado. It is located at 1135 S Camino Del Rio, Ste. 210, Durango, CO and its contact number is 970-247-0202. The authorized person for Four Corners Smiles 4 Kids, Inc. is Dr. J Ryan Mickelson
who is Owner of the clinic and their contact number is 970-247-0202. The primary license number for Four Corners Smiles 4 Kids, Inc. is 8630 (General Practice) in Colorado.
Four Corners Smiles 4 Kids, Inc. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Four Corners Smiles 4 Kids, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Four Corners Smiles 4 Kids, Inc. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1135 S Camino Del Rio, Ste. 210, Durango, Colorado, 81303-6831 |
| Phone: | 970-247-0202 |
| Fax: | 970-247-0404 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. J Ryan Mickelson |
| Position: | Owner |
| Contact Number: | 970-247-0202 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Four Corners Smiles 4 Kids, Inc. clinic are as mentioned below.
| NPI Number: | 1225364607 |
| NPI Enumeration Date: | 20 Oct, 2009 |
| NPI Last Update On: | 20 Oct, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Four Corners Smiles 4 Kids, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 8630 | Colorado | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Four Corners Smiles 4 Kids, Inc. 1135 S Camino Del Rio, Ste. 210 Durango, Colorado |
| Zip: | 81303-6831 |
| Phone Number: | 970-247-0202 |
| Fax Number: | 970-247-0404 |
Patients can reach Four Corners Smiles 4 Kids, Inc. at
1135 S Camino Del Rio, Ste. 210, Durango, Colorado or can
call to book an appointment on 970-247-0202.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.