| Rocky Mountain Dental Sleep, Llc | |
|
7502 W 80th Ave Ste 100 Arvada CO 80003-2139 | |
| (303) 421-2696 | |
| (303) 421-2179 |
| Full Name | Rocky Mountain Dental Sleep, Llc |
|---|---|
| Speciality | Dentist |
| Location | 7502 W 80th Ave Ste 100, Arvada, Colorado |
| Authorized Official Name and Position | James Bieneman (OWNER) |
| Authorized Official Contact | 5748072083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Dental Sleep, Llc 1632 S Josephine St Denver CO 80210-2811 Ph: (574) 807-2083 | Rocky Mountain Dental Sleep, Llc 7502 W 80th Ave Ste 100 Arvada CO 80003-2139 Ph: (303) 421-2696 |
| NPI Number | 1043727548 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Medicare PECOS PAC ID | 1153683206 |
|---|---|
| Medicare Enrollment ID | O20180329001640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043727548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 202272 (Colorado) | Secondary |
| 122300000X | Dentist | 201891 (Colorado) | Primary |
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