| Adventure Dental And Vision | |
|
6075 E Parkway Dr Ste 160 Commerce City CO 80022-5413 | |
| (720) 795-7077 | |
| (719) 955-3470 |
| Full Name | Adventure Dental And Vision |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6075 E Parkway Dr Ste 160, Commerce City, Colorado |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Dental And Vision 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 576-1850 | Adventure Dental And Vision 6075 E Parkway Dr Ste 160 Commerce City CO 80022-5413 Ph: (720) 795-7077 |
| NPI Number | 1598318123 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598318123 | NPI | - | NPPES |
| DEN00009208 | Other | CO | CO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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