| Evergreen Dental Group | |
|
31226 Lewis Ridge Rd Evergreen CO 80439-7998 | |
| (303) 674-5566 | |
| (303) 674-8911 |
| Full Name | Evergreen Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31226 Lewis Ridge Rd, Evergreen, Colorado |
| Authorized Official Name and Position | Donald Sharp (DENTIST) |
| Authorized Official Contact | 3036745566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Dental Group 31226 Lewis Ridge Rd Evergreen CO 80439-7998 Ph: (303) 674-5566 | Evergreen Dental Group 31226 Lewis Ridge Rd Evergreen CO 80439-7998 Ph: (303) 674-5566 |
| NPI Number | 1215104336 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215104336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | HD104930 (Colorado) | Primary |
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