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9980 Park Meadows Dr Ste 200 Lone Tree CO 80124-8406 | |
(303) 688-6630 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 9980 Park Meadows Dr Ste 200, Lone Tree, Colorado |
Authorized Official Name and Position | Jason Ehtessabian (OWNER) |
Authorized Official Contact | 3036886630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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9980 Park Meadows Dr Ste 200 Lone Tree CO 80124-8406 Ph: (303) 688-6630 | 9980 Park Meadows Dr Ste 200 Lone Tree CO 80124-8406 Ph: (303) 688-6630 |
NPI Number | 1700530664 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 06/06/2022 |
Medicare PECOS PAC ID | 6103204078 |
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Medicare Enrollment ID | O20220606000288 |
Identifier | Type | State | Issuer |
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1700530664 | NPI | - | NPPES |
Creekside Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10450 Park Meadows Dr, Suite 306, Lone Tree, CO 80124 Phone: 303-524-9343 | |
Neo New Early Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Station St Ste 100, Lone Tree, CO 80124 Phone: 303-690-0400 |