Provider Demographics
NPI:1528669074
Name:RED HOUSE
Entity type:Organization
Organization Name:RED HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:TROXEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:260-580-0898
Mailing Address - Street 1:2577 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-4900
Mailing Address - Country:US
Mailing Address - Phone:260-580-0898
Mailing Address - Fax:
Practice Address - Street 1:440 S LINCOLN AVE STE B10
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8935
Practice Address - Country:US
Practice Address - Phone:970-879-5630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental