| Jon L. Whiteley, Dds, Pc | |
|
3300 E 1st Ave Ste 500 Denver CO 80206-5809 | |
| (303) 321-0828 | |
| (303) 321-0027 |
| Full Name | Jon L. Whiteley, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3300 E 1st Ave Ste 500, Denver, Colorado |
| Authorized Official Name and Position | Jon Lawrence Whiteley (PRESIDENT) |
| Authorized Official Contact | 3033210828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon L. Whiteley, Dds, Pc 3300 E 1st Ave Ste 500 Denver CO 80206-5809 Ph: (303) 321-0828 | Jon L. Whiteley, Dds, Pc 3300 E 1st Ave Ste 500 Denver CO 80206-5809 Ph: (303) 321-0828 |
| NPI Number | 1932520707 |
|---|---|
| Provider Enumeration Date | 12/22/2013 |
| Last Update Date | 12/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932520707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 105400 (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 | |