| Evergreen Orthodontics | |
|
30752 Southview Drive Suite 200 Evergreen CO 80439-2221 | |
| (303) 679-6111 | |
| Not Available |
| Full Name | Evergreen Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 30752 Southview Drive, Evergreen, Colorado |
| Authorized Official Name and Position | Dori Papir (OWNER) |
| Authorized Official Contact | 3036796111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Orthodontics 28157 Lupine Dr Evergreen CO 80439-8354 Ph: () - | Evergreen Orthodontics 30752 Southview Drive Suite 200 Evergreen CO 80439-2221 Ph: (303) 679-6111 |
| NPI Number | 1255540696 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255540696 | NPI | - | NPPES |
| 08970831 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8163 (Colorado) | Primary |
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Matthew A Bunchman, Dmd, Prof Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29723 Troutdale Scenic Dr, Evergreen, CO 80439 Phone: 303-679-6400 | |
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