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4521 E Virginia Ave Denver CO 80246-1516 | |
| (303) 388-5501 | |
| (303) 388-5504 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4521 E Virginia Ave, Denver, Colorado |
| Authorized Official Name and Position | Laurie Summers (CREDENTIALING) |
| Authorized Official Contact | 3032856098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4521 E Virginia Ave Denver CO 80246-1516 Ph: (303) 388-5501 | 4521 E Virginia Ave Denver CO 80246-1516 Ph: (303) 388-5501 |
| NPI Number | 1134249576 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134249576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3097 (Colorado) | 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 | |