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2373 Central Park Blvd Suite 301 Denver CO 80238 | |
(303) 955-5587 | |
(303) 955-5596 |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2373 Central Park Blvd Suite 301, Denver, Colorado |
Authorized Official Name and Position | Rebecca Lurcott (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3037441369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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400 S Colorado Blvd Suite 450 Denver CO 80246 Ph: (303) 744-1369 | 2373 Central Park Blvd Suite 301 Denver CO 80238 Ph: (303) 955-5587 |
NPI Number | 1699347187 |
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Provider Enumeration Date | 07/14/2021 |
Last Update Date | 08/30/2021 |
Identifier | Type | State | Issuer |
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1699347187 | NPI | - | NPPES |
35281278 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
4th Avenue Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 University Blvd, Denver, CO 80206 Phone: 303-333-0771 Fax: 303-333-0779 | |
Jan B Buckstein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St, Suite #718, Denver, CO 80222 Phone: 303-757-7759 Fax: 303-757-1501 | |