| 5280 Pediatric Dentistry | |
|
10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 | |
| (303) 601-5280 | |
| Not Available |
| Full Name | 5280 Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10463 Park Meadows Dr, Lone Tree, Colorado |
| Authorized Official Name and Position | Derek Stephen Owens (OWNER) |
| Authorized Official Contact | 3033496480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5280 Pediatric Dentistry 10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 Ph: (303) 601-5280 | 5280 Pediatric Dentistry 10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 Ph: (303) 601-5280 |
| NPI Number | 1467828905 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467828905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0020124 (Colorado) | Primary |
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