| Alan Gerbholz, Llc | |
|
9227 E Lincoln Ave Suite 100 Lone Tree CO 80124-5506 | |
| (720) 317-2700 | |
| (720) 344-2663 |
| Full Name | Alan Gerbholz, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9227 E Lincoln Ave, Lone Tree, Colorado |
| Authorized Official Name and Position | Paul Hamersky (DENTIST) |
| Authorized Official Contact | 7203172700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Gerbholz, Llc Po Box 27504 Tempe AZ 85285-7504 Ph: (480) 777-0607 | Alan Gerbholz, Llc 9227 E Lincoln Ave Suite 100 Lone Tree CO 80124-5506 Ph: (720) 317-2700 |
| NPI Number | 1710316633 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710316633 | NPI | - | NPPES |
| 464158YYHH | Other | CO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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