| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 10/10/2011 |
| Medicare PECOS PAC ID | 9739368655 |
|---|---|
| Medicare Enrollment ID | O20110125000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366747016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 104945 (Colorado) | Primary |
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