| Family Dentistry | |
|
1756 Vine St Denver CO 80206 | |
| (303) 322-1177 | |
| (303) 322-1199 |
| Full Name | Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1756 Vine St, Denver, Colorado |
| Authorized Official Name and Position | Collis Johnson (DENTIST OWNER PC) |
| Authorized Official Contact | 3033221177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry 1756 Vine St Denver CO 80206 Ph: (303) 322-1177 | Family Dentistry 1756 Vine St Denver CO 80206 Ph: (303) 322-1177 |
| NPI Number | 1922212943 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 09/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922212943 | NPI | - | NPPES |
| 1831291855 | Other | CO | NATIONAL PROVIDER TYPEI |
| 02014769 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 104176 (Colorado) | Primary |
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