| Colorado Dental Providers | |
|
3773 Cherry Creek North Dr Suite 120 Denver CO 80209-3804 | |
| (303) 355-8670 | |
| Not Available |
| Full Name | Colorado Dental Providers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3773 Cherry Creek North Dr, Denver, Colorado |
| Authorized Official Name and Position | John Everett Ballard (CIO) |
| Authorized Official Contact | 9727550800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dental Providers 4100 Mcewen Rd Suite 110 Dallas TX 75244-5113 Ph: (972) 755-0800 | Colorado Dental Providers 3773 Cherry Creek North Dr Suite 120 Denver CO 80209-3804 Ph: (303) 355-8670 |
| NPI Number | 1437234267 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437234267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8054 (Colorado) | Primary |
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