|
| |
|
2200 W 29th Ave Ste B Denver CO 80211-4365 | |
| (720) 440-9296 | |
| (720) 440-9298 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 W 29th Ave Ste B, Denver, Colorado |
| Authorized Official Name and Position | Jayme Glamm (OWNER) |
| Authorized Official Contact | 7204409296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2200 W 29th Ave Ste B Denver CO 80211-4365 Ph: (720) 440-9296 | 2200 W 29th Ave Ste B Denver CO 80211-4365 Ph: (720) 440-9296 |
| NPI Number | 1568753960 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568753960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9657 (Colorado) | Primary |
| 1223G0001X | Dentist - General Practice | 9332 (Colorado) | Secondary |
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 | |