Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1225 35th Street, Denver, Colorado |
Authorized Official Name and Position | Sara Smith (FRONT OFFICE COORDINATOR) |
Authorized Official Contact | 7204407743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1225 35th Street Denver CO 80205 Ph: (720) 440-7743 | 1225 35th Street Denver CO 80205 Ph: (720) 440-7743 |
NPI Number | 1710474374 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 04/19/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710474374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN.00202416 (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 | |