|
| |
|
5801 W. 44th Ave Unit C Denver CO 80212 | |
| (303) 433-1239 | |
| (303) 455-5317 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5801 W. 44th Ave, Denver, Colorado |
| Authorized Official Name and Position | Chadwick N Williamson (SOLE OWNER) |
| Authorized Official Contact | 3034331239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5801 W. 44th Ave. Unit C Denver CO 80212 Ph: (303) 433-1239 | 5801 W. 44th Ave Unit C Denver CO 80212 Ph: (303) 433-1239 |
| NPI Number | 1053441956 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053441956 | NPI | - | NPPES |
| 68728816 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |