Provider Demographics
NPI:1417618687
Name:RIFLE SMILES PC
Entity Type:Organization
Organization Name:RIFLE SMILES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:H
Authorized Official - Last Name:CAPPELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-625-1696
Mailing Address - Street 1:1430 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-3334
Mailing Address - Country:US
Mailing Address - Phone:970-625-1696
Mailing Address - Fax:
Practice Address - Street 1:1430 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-3334
Practice Address - Country:US
Practice Address - Phone:970-625-1696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental