| Mile High Smiles Pllc | |
|
677 S Federal Blvd Denver CO 80219-2938 | |
| (303) 955-6079 | |
| Not Available |
| Full Name | Mile High Smiles Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 677 S Federal Blvd, Denver, Colorado |
| Authorized Official Name and Position | Eric Johnson (OWNER) |
| Authorized Official Contact | 6026970934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile High Smiles Pllc 15842 Josephine Cir W Thornton CO 80602-7756 Ph: (602) 697-0934 | Mile High Smiles Pllc 677 S Federal Blvd Denver CO 80219-2938 Ph: (303) 955-6079 |
| NPI Number | 1023576501 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023576501 | NPI | - | NPPES |
| 1417324138 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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