| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1225 35th St, Denver, Colorado |
| Authorized Official Name and Position | John Lydiatt (OWNER DENTIST) |
| Authorized Official Contact | 7195995700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1225 35th St Denver CO 80205 Ph: (720) 440-7743 | 1225 35th St Denver CO 80205 Ph: (720) 440-7743 |
| NPI Number | 1306507736 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306507736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | 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 | |