| Clear Creek Dental Clinic | |
|
1600 Washington Ave Golden CO 80401-1927 | |
| (303) 279-6621 | |
| (303) 216-0278 |
| Full Name | Clear Creek Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 Washington Ave, Golden, Colorado |
| Authorized Official Name and Position | Jennifer Unger Waters (PRESIDENT/OWNER) |
| Authorized Official Contact | 3032796621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Creek Dental Clinic 1600 Washington Ave Golden CO 80401-1927 Ph: (303) 279-6621 | Clear Creek Dental Clinic 1600 Washington Ave Golden CO 80401-1927 Ph: (303) 279-6621 |
| NPI Number | 1952510679 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952510679 | NPI | - | NPPES |
| 1588647176 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8005 (Colorado) | Primary |
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