| Pediatric Dental Group Of Lakewood | |
|
3333 S Wadsworth Blvd Unit B104 Lakewood CO 80227-5120 | |
| (303) 984-9700 | |
| (303) 985-2490 |
| Full Name | Pediatric Dental Group Of Lakewood |
|---|---|
| Speciality | Dentist |
| Location | 3333 S Wadsworth Blvd Unit B104, Lakewood, Colorado |
| Authorized Official Name and Position | Nicole E Hartshorn (OFFICE MANAGER) |
| Authorized Official Contact | 7203389778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group Of Lakewood 3333 S Wadsworth Blvd Unit B102b104 Lakewood CO 80227-5122 Ph: (303) 984-9700 | Pediatric Dental Group Of Lakewood 3333 S Wadsworth Blvd Unit B104 Lakewood CO 80227-5120 Ph: (303) 984-9700 |
| NPI Number | 1720214638 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720214638 | NPI | - | NPPES |
| 44332866 | Medicaid | CO | |
| 02006518 | Medicaid | CO | |
| 02078434 | Medicaid | CO | |
| 38371847 | Medicaid | CO | |
| 83777709 | Medicaid | CO |
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