| The Dental Implant Center | |
|
1900 16th St Suite 1150 Denver CO 80202-5120 | |
| (303) 515-6700 | |
| (888) 484-0355 |
| Full Name | The Dental Implant Center |
|---|---|
| Speciality | Dentist |
| Location | 1900 16th St, Denver, Colorado |
| Authorized Official Name and Position | Justin David Moody (OWNER/SOLE MBR) |
| Authorized Official Contact | 3035156700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Implant Center 1900 16th St Suite 1150 Denver CO 80202-5120 Ph: (303) 515-6700 | The Dental Implant Center 1900 16th St Suite 1150 Denver CO 80202-5120 Ph: (303) 515-6700 |
| NPI Number | 1356686182 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356686182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN 9555 (Colorado) | Primary |
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