| Creekside Endodontics, Llc | |
|
10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 | |
| (303) 524-9343 | |
| Not Available |
| Full Name | Creekside Endodontics, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10450 Park Meadows Dr, Lone Tree, Colorado |
| Authorized Official Name and Position | Andrew Richard Stubbs ()WNER) |
| Authorized Official Contact | 3035944621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Endodontics, Llc 10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 Ph: (303) 524-9343 | Creekside Endodontics, Llc 10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 Ph: (303) 524-9343 |
| NPI Number | 1144608282 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144608282 | NPI | - | NPPES |
| 1710963343 | Other | ANDREW STUBBS NPI NUMBER | |
| DEN10252 | Other | CO | COLORADO DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN10252 (Colorado) | Primary |
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