| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8383 Pecos St, Denver, Colorado |
| Authorized Official Name and Position | Whitney Wright (MANAGER) |
| Authorized Official Contact | 4803394800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3030 N Central Ave Ste 1500 Phoenix AZ 85012-2750 Ph: (602) 427-4066 | 8383 Pecos St Denver CO 80221-3957 Ph: (720) 450-8000 |
| NPI Number | 1568931061 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568931061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |