| Co Specialty Dental Services Pllc | |
|
5865 E Powers Ave Lakewood CO 80214 | |
| (303) 462-1462 | |
| Not Available |
| Full Name | Co Specialty Dental Services Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5865 E Powers Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Co Specialty Dental Services Pllc 401 Church St Ste 1400 Nashville TN 37219-2214 Ph: (504) 638-0303 | Co Specialty Dental Services Pllc 5865 E Powers Ave Lakewood CO 80214 Ph: (303) 462-1462 |
| NPI Number | 1912671520 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912671520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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