Craniofacial Pain Clinic Pc | |
3540 S Poplar St Ste 301 Denver CO 80237-1360 | |
(303) 758-4865 | |
(303) 756-8551 |
Full Name | Craniofacial Pain Clinic Pc |
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Speciality | Dentist |
Location | 3540 S Poplar St, Denver, Colorado |
Authorized Official Name and Position | Dee Rollins (MANAGER) |
Authorized Official Contact | 3037582980 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Craniofacial Pain Clinic Pc 3540 S Poplar St Ste 301 Denver CO 80237-1360 Ph: (303) 758-4865 | Craniofacial Pain Clinic Pc 3540 S Poplar St Ste 301 Denver CO 80237-1360 Ph: (303) 758-4865 |
NPI Number | 1366747016 |
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Provider Enumeration Date | 01/11/2011 |
Last Update Date | 10/10/2011 |
Medicare PECOS PAC ID | 9739368655 |
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Medicare Enrollment ID | O20110125000525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366747016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 104945 (Colorado) | 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 | |