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2373 Central Park Blvd Unit 305 Denver CO 80238-2301 | |
| (303) 399-5437 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2373 Central Park Blvd Unit 305, Denver, Colorado |
| Authorized Official Name and Position | Alfred Patrick Smithwick (OWNER) |
| Authorized Official Contact | 4437567119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2373 Central Park Blvd Unit 305 Denver CO 80238-2301 Ph: (303) 399-5437 | 2373 Central Park Blvd Unit 305 Denver CO 80238-2301 Ph: (303) 399-5437 |
| NPI Number | 1144744657 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144744657 | NPI | - | NPPES |
| 71537856 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 00201825 (Colorado) | 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 | |