| Blue Mesa Dental | |
|
8100 S Quebec St St A 15 Englewood CO 80112 | |
| (720) 489-9800 | |
| (720) 489-9813 |
| Full Name | Blue Mesa Dental |
|---|---|
| Speciality | Dentist |
| Location | 8100 S Quebec St, Englewood, Colorado |
| Authorized Official Name and Position | Marissa Anne Nicholson (OFFICE MANAGER) |
| Authorized Official Contact | 7204899800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mesa Dental 8100 S Quebec St St A 15 Englewood CO 80112 Ph: (720) 489-9800 | Blue Mesa Dental 8100 S Quebec St St A 15 Englewood CO 80112 Ph: (720) 489-9800 |
| NPI Number | 1972656403 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972656403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9054 (Colorado) | Primary |
| 122300000X | Dentist | 6619 (Colorado) | Secondary |
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