| Adventure Dental, Vision And Orthodontics | |
|
1407 W 84th Ave Unit B8 Denver CO 80260-4753 | |
| (720) 214-4746 | |
| (720) 214-4745 |
| Full Name | Adventure Dental, Vision And Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 1407 W 84th Ave Unit B8, Denver, 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, Vision And Orthodontics 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 955-8896 | Adventure Dental, Vision And Orthodontics 1407 W 84th Ave Unit B8 Denver CO 80260-4753 Ph: (720) 214-4746 |
| NPI Number | 1972744548 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 10/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972744548 | NPI | - | NPPES |
| 50132741 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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