Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 4640 W Colfax Ave, Denver, Colorado |
Authorized Official Name and Position | Gregory Kostelac (OFFICE MANAGER) |
Authorized Official Contact | 3033768005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1143 Auraria Pkwy Unit 401a Denver CO 80204-1859 Ph: () - | 4640 W Colfax Ave Denver CO 80204 Ph: (303) 376-8005 |
NPI Number | 1508588500 |
---|---|
Provider Enumeration Date | 09/15/2022 |
Last Update Date | 02/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508588500 | 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 | |