| Dentistry360 | |
|
5140 W Dartmouth Ave Denver CO 80236-2007 | |
| (720) 596-4760 | |
| (720) 596-4943 |
| Full Name | Dentistry360 |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5140 W Dartmouth Ave, Denver, Colorado |
| Authorized Official Name and Position | Semi Condoianis (OWNER) |
| Authorized Official Contact | 2146934022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry360 5140 W Dartmouth Ave Denver CO 80236-2007 Ph: (720) 596-4760 | Dentistry360 5140 W Dartmouth Ave Denver CO 80236-2007 Ph: (720) 596-4760 |
| NPI Number | 1235499294 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235499294 | NPI | - | NPPES |
| 58206051 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10276 (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 | |