| Icon Dental | |
|
1425 Market St Ste 100 Denver CO 80202-1708 | |
| (641) 821-0256 | |
| Not Available |
| Full Name | Icon Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1425 Market St Ste 100, Denver, Colorado |
| Authorized Official Name and Position | Nazeli Tarjan (DENTIST/OWNER) |
| Authorized Official Contact | 6418210256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icon Dental 1425 Market St Ste 100 Denver CO 80202-1708 Ph: (641) 821-0256 | Icon Dental 1425 Market St Ste 100 Denver CO 80202-1708 Ph: (641) 821-0256 |
| NPI Number | 1467863977 |
|---|---|
| Provider Enumeration Date | 05/19/2014 |
| Last Update Date | 05/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467863977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9970 (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 | |