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9652 Washington St Thornton CO 80229-2160 | |
| (720) 277-5930 | |
| (877) 444-4055 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9652 Washington St, Thornton, Colorado |
| Authorized Official Name and Position | Colton Flake (OWNER) |
| Authorized Official Contact | 7202775930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8223 S Quebec St Suite O Centennial CO 80112-4415 Ph: () - | 9652 Washington St Thornton CO 80229-2160 Ph: (720) 277-5930 |
| NPI Number | 1487190393 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487190393 | NPI | - | NPPES |
| 44075871 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10630 (Colorado) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 10630 (Colorado) | Primary |
Valley View Dental Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 9351 Grant St Ste 340, Thornton, CO 80229 Phone: 303-254-4484 | |
Visiting Ancillary Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Thornton Pkwy Unit 240b, Thornton, CO 80229 Phone: 303-650-5800 Fax: 303-650-5801 | |
Colorado Comfort Kids Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9652 Washington St, Thornton, CO 80229 Phone: 720-853-2355 | |