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1660 S Albion St Suite 1008 Denver CO 80222-4008 | |
| (303) 691-0267 | |
| (303) 691-0268 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1660 S Albion St, Denver, Colorado |
| Authorized Official Name and Position | Kevin Shawn Berry (DOCTOR OF DENTAL SURGERY) |
| Authorized Official Contact | 3036910267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11825 State Route 40 Suite 100 Dunlap IL 61525-8842 Ph: (309) 839-9941 | 1660 S Albion St Suite 1008 Denver CO 80222-4008 Ph: (303) 691-0267 |
| NPI Number | 1013448034 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 03/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013448034 | NPI | - | NPPES |
| 1003998485 | Other | CO | INDIVIDUAL NPI NUMBER |
| 1962765651 | Other | CO | DR. BERRY PC ORGANIZATION (TYPE 2) NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7991 (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 |