| Park Avenue Dental | |
|
230 Park Ave Fort Lupton CO 80621-1928 | |
| (303) 857-2258 | |
| Not Available |
| Full Name | Park Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 230 Park Ave, Fort Lupton, Colorado |
| Authorized Official Name and Position | H Jebril (OFFICER) |
| Authorized Official Contact | 3034667438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Dental 3215 W 112th Ct Westminster CO 80031-7199 Ph: (303) 466-7439 | Park Avenue Dental 230 Park Ave Fort Lupton CO 80621-1928 Ph: (303) 857-2258 |
| NPI Number | 1336544642 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336544642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7249 (Colorado) | Primary |
Fort Lupton Dental Group P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Denver Ave, Fort Lupton, CO 80621 Phone: 303-857-4377 | |
True Dental Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Copper Pl, Fort Lupton, CO 80621 Phone: 303-990-8550 Fax: 303-990-8550 |