| Rocky Mountain Dental Group, Llc | |
|
2475 Wadsworth Blvd Lakewood CO 80214-5713 | |
| (303) 233-1335 | |
| (303) 233-8361 |
| Full Name | Rocky Mountain Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2475 Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Michael Ontiveros (DENTIST) |
| Authorized Official Contact | 3032331335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Dental Group, Llc 2475 Wadsworth Blvd Lakewood CO 80214-5713 Ph: (303) 233-1335 | Rocky Mountain Dental Group, Llc 2475 Wadsworth Blvd Lakewood CO 80214-5713 Ph: (303) 233-1335 |
| NPI Number | 1699228981 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Medicare PECOS PAC ID | 0547537920 |
|---|---|
| Medicare Enrollment ID | O20170607000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699228981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6875 (Colorado) | Primary |
| Provider Name | Michael F Ontiveros |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821056961 PECOS PAC ID: 0042587420 Enrollment ID: I20170607000171 |
Suite 305 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7373 W Jefferson Ave Ste 305, Lakewood, CO 80235 Phone: 303-985-1263 Fax: 303-985-1659 | |
Golden Hill Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11290 W Alameda Ave Ste A-100, Lakewood, CO 80226 Phone: 303-237-1553 Fax: 303-232-1683 | |
Ten Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Wadsworth Blvd Unit 303d, Lakewood, CO 80227 Phone: 303-988-6115 | |
Charisma Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 S Pierce St Ste 16b, Lakewood, CO 80232 Phone: 303-953-1418 Fax: 720-524-4411 | |
Frank Harmon Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2290 Kipling St, Lakewood, CO 80215 Phone: 303-233-2906 Fax: 303-233-2671 | |
Lakewood Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7650 W Virginia Ave, Suite A, Lakewood, CO 80226 Phone: 714-845-8890 Fax: 949-474-1495 | |
Dk Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 S Sheridan Blvd, Suite C, Lakewood, CO 80226 Phone: 720-524-3959 Fax: 720-596-4482 |