My Local Colorado Dental Practice, Llc | |
10461 Park Meadows Dr Bldg 4 Lone Tree CO 80124-5306 | |
(303) 534-2626 | |
Not Available |
Full Name | My Local Colorado Dental Practice, Llc |
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Speciality | Dentist - General Practice |
Location | 10461 Park Meadows Dr Bldg 4, Lone Tree, Colorado |
Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5093158338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Local Colorado Dental Practice, Llc 10461 Park Meadows Dr Bldg 4 Lone Tree CO 80124-5306 Ph: (303) 534-2626 | My Local Colorado Dental Practice, Llc 10461 Park Meadows Dr Bldg 4 Lone Tree CO 80124-5306 Ph: (303) 534-2626 |
NPI Number | 1356995021 |
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Provider Enumeration Date | 07/30/2019 |
Last Update Date | 07/30/2019 |
Identifier | Type | State | Issuer |
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1356995021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Creekside Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10450 Park Meadows Dr, Suite 306, Lone Tree, CO 80124 Phone: 303-524-9343 | |
Neo New Early Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Station St Ste 100, Lone Tree, CO 80124 Phone: 303-690-0400 |