| Valley View Dental Pllc | |
|
9351 Grant St Ste 340 Thornton CO 80229-4365 | |
| (303) 254-4484 | |
| Not Available |
| Full Name | Valley View Dental Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9351 Grant St Ste 340, Thornton, Colorado |
| Authorized Official Name and Position | Alisha Evangeline Prince (OWNER DENTIST) |
| Authorized Official Contact | 6205042876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley View Dental Pllc 9351 Grant St Ste 340 Thornton CO 80229-4365 Ph: () - | Valley View Dental Pllc 9351 Grant St Ste 340 Thornton CO 80229-4365 Ph: (303) 254-4484 |
| NPI Number | 1013694272 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 0648618017 |
|---|---|
| Medicare Enrollment ID | O20240403004283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013694272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Alisha Evangeline Prince |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1659084382 PECOS PAC ID: 1557709920 Enrollment ID: I20240403004371 |
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