| Tennyson Dentistry And Orthodontics Pllc | |
|
4277 Tennyson St Ste 102 Denver CO 80212-2305 | |
| (720) 408-9126 | |
| Not Available |
| Full Name | Tennyson Dentistry And Orthodontics Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4277 Tennyson St Ste 102, Denver, Colorado |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennyson Dentistry And Orthodontics Pllc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Tennyson Dentistry And Orthodontics Pllc 4277 Tennyson St Ste 102 Denver CO 80212-2305 Ph: (720) 408-9126 |
| NPI Number | 1437645496 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437645496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 203674 (Colorado) | Primary |
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