| Jewell Dental Care Pllc | |
|
6565 W Jewell Ave Suite 9 Lakewood CO 80232-7187 | |
| (303) 922-1103 | |
| Not Available |
| Full Name | Jewell Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6565 W Jewell Ave, Lakewood, Colorado |
| Authorized Official Name and Position | Steven Anthony Castillo (MANAGING MEMBER) |
| Authorized Official Contact | 3039221103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewell Dental Care Pllc 6565 W Jewell Ave Suite 9 Lakewood CO 80232-7187 Ph: (303) 922-1103 | Jewell Dental Care Pllc 6565 W Jewell Ave Suite 9 Lakewood CO 80232-7187 Ph: (303) 922-1103 |
| NPI Number | 1700336443 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700336443 | NPI | - | NPPES |
| 29136831 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8092 (Colorado) | Primary |
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