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2101 S Clermont St Denver CO 80222-5006 | |
(303) 691-3333 | |
(720) 666-6036 |
Full Name | |
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Speciality | Dentist |
Location | 2101 S Clermont St, Denver, Colorado |
Authorized Official Name and Position | Atousa B Safavi (DENTIST/OWNER) |
Authorized Official Contact | 9194284525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2101 S Clermont St Denver CO 80222-5006 Ph: (303) 691-3333 | 2101 S Clermont St Denver CO 80222-5006 Ph: (303) 691-3333 |
NPI Number | 1710450192 |
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Provider Enumeration Date | 01/08/2019 |
Last Update Date | 09/12/2022 |
Medicare PECOS PAC ID | 7315317682 |
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Medicare Enrollment ID | O20221230002177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710450192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |