| Colorado Dental Professionals, Llc | |
|
6145 Firestone Blvd Firestone CO 80504-5879 | |
| (720) 204-4074 | |
| Not Available |
| Full Name | Colorado Dental Professionals, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6145 Firestone Blvd, Firestone, Colorado |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dental Professionals, Llc 6145 Firestone Blvd Firestone CO 80504-5879 Ph: (720) 204-4074 | Colorado Dental Professionals, Llc 6145 Firestone Blvd Firestone CO 80504-5879 Ph: (720) 204-4074 |
| NPI Number | 1245905124 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245905124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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