| |
1401 Wynkoop St Suite 170 Denver CO 80202-1729 | |
(734) 223-2678 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - Endodontics |
Location | 1401 Wynkoop St, Denver, Colorado |
Authorized Official Name and Position | Jeremy M Kott (PRESIDENT) |
Authorized Official Contact | 7342232678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1401 Wynkoop St Suite 170 Denver CO 80202-1729 Ph: () - | 1401 Wynkoop St Suite 170 Denver CO 80202-1729 Ph: (734) 223-2678 |
NPI Number | 1184935751 |
---|---|
Provider Enumeration Date | 06/29/2010 |
Last Update Date | 06/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184935751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 9557 (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 | |