Russell L. Casement, Dds | |
1355 S Colorado Blvd Ste 320 Denver CO 80222-3316 | |
(303) 758-0866 | |
(303) 758-3657 |
Full Name | Russell L. Casement, Dds |
---|---|
Speciality | Dentist |
Location | 1355 S Colorado Blvd Ste 320, Denver, Colorado |
Authorized Official Name and Position | Russell L Casement (PRESIDENT) |
Authorized Official Contact | 3037580866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Russell L. Casement, Dds 1355 S Colorado Blvd Ste 320 Denver CO 80222-3316 Ph: (303) 758-0866 | Russell L. Casement, Dds 1355 S Colorado Blvd Ste 320 Denver CO 80222-3316 Ph: (303) 758-0866 |
NPI Number | 1447576749 |
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Provider Enumeration Date | 04/12/2010 |
Last Update Date | 04/12/2010 |
Medicare PECOS PAC ID | 4385917236 |
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Medicare Enrollment ID | O20170829001869 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447576749 | NPI | - | NPPES |
1679575740 | Other | CO | INDIVIDUAL NPI |
1083619035 | Other | CO | INDIVIDUAL NPI |
02036747 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3674 (Colorado) | Primary |
1223G0001X | Dentist - General Practice | 8658 (Colorado) | Secondary |
Provider Name | Kelley A Casement |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1083619035 PECOS PAC ID: 9931415197 Enrollment ID: I20170829002675 |
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 | |