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1250 S Parker Rd Ste 100a Denver CO 80231-2178 | |
(512) 861-1337 | |
(866) 815-3719 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 1250 S Parker Rd Ste 100a, Denver, Colorado |
Authorized Official Name and Position | Benjamin Tiggelaar (AUTHORIZED AGENT) |
Authorized Official Contact | 5129804648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5555 N Lamar Blvd Ste H125 Austin TX 78751 Ph: (512) 980-4648 | 1250 S Parker Rd Ste 100a Denver CO 80231-2178 Ph: (512) 861-1337 |
NPI Number | 1104320969 |
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Provider Enumeration Date | 03/19/2018 |
Last Update Date | 11/03/2021 |
Identifier | Type | State | Issuer |
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1104320969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 | |