| |
881 Federal Blvd Denver CO 80204-3212 | |
(303) 359-9814 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 881 Federal Blvd, Denver, Colorado |
Authorized Official Name and Position | James Parfitt (PARTNER/OWNER) |
Authorized Official Contact | 3033599814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
881 Federal Blvd Denver CO 80204-3212 Ph: () - | 881 Federal Blvd Denver CO 80204-3212 Ph: (303) 359-9814 |
NPI Number | 1669757415 |
---|---|
Provider Enumeration Date | 10/12/2011 |
Last Update Date | 10/12/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669757415 | NPI | - | NPPES |
14872773 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8479 (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 | |