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1250 S Sheridan Blvd Denver CO 80232-8022 | |
| (303) 777-5437 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1250 S Sheridan Blvd, Denver, Colorado |
| Authorized Official Name and Position | Kendall Brent Skinner (GENERAL DENTIST) |
| Authorized Official Contact | 3037775437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2476 N University Pkwy Ste 201 Provo UT 84604-3869 Ph: (801) 305-3460 | 1250 S Sheridan Blvd Denver CO 80232-8022 Ph: (303) 777-5437 |
| NPI Number | 1366896318 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 04/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366896318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2924138903 (Utah) | 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 | |