| Firestone Pediatric Dentistry And Orthodontics | |
|
7613 Esther Cir Frederick CO 80504-5881 | |
| (720) 638-6114 | |
| Not Available |
| Full Name | Firestone Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7613 Esther Cir, Frederick, Colorado |
| Authorized Official Name and Position | Matthew F Brady (OWNER) |
| Authorized Official Contact | 7574626602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Firestone Pediatric Dentistry And Orthodontics 8301 Colorado Blvd, Suite 200 Firestone CO 80504 Ph: () - | Firestone Pediatric Dentistry And Orthodontics 7613 Esther Cir Frederick CO 80504-5881 Ph: (720) 638-6114 |
| NPI Number | 1558757260 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558757260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Colorado) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Colorado) | Secondary |
Carbon Valley Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Main Street, Unit B, Frederick, CO 80530 Phone: 303-833-5500 |