| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3216 High St, Denver, Colorado |
| Authorized Official Name and Position | Kimberly Mccleskey (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3035212560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3216 High St Denver CO 80205-4062 Ph: (303) 329-0231 | 3216 High St Denver CO 80205-4062 Ph: (303) 329-0231 |
| NPI Number | 1942601034 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942601034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Colorado) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Colorado) | 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 | |