| Denver Metro Oms Pc | |
|
4500 E Cherry Creek South Dr Denver CO 80246-1518 | |
| (303) 321-0333 | |
| (303) 393-0617 |
| Full Name | Denver Metro Oms Pc |
|---|---|
| Speciality | Dentist |
| Location | 4500 E Cherry Creek South Dr, Denver, Colorado |
| Authorized Official Name and Position | Michelle A Cline (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3033210333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Metro Oms Pc 4500 E Cherry Creek South Dr Denver CO 80246-1518 Ph: (303) 321-0333 | Denver Metro Oms Pc 4500 E Cherry Creek South Dr Denver CO 80246-1518 Ph: (303) 321-0333 |
| NPI Number | 1912060450 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 06/10/2020 |
| Medicare PECOS PAC ID | 7517856362 |
|---|---|
| Medicare Enrollment ID | O20040311000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912060450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| Provider Name | Maria J Dipasquale |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275692634 PECOS PAC ID: 8426292178 Enrollment ID: I20130918000759 |
| Provider Name | Kevin M Patterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073681441 PECOS PAC ID: 5890939540 Enrollment ID: I20131026000051 |
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