| Washington Park Dental Center | |
|
271 S Downing St Denver CO 80209-2432 | |
| (303) 778-7707 | |
| Not Available |
| Full Name | Washington Park Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 271 S Downing St, Denver, Colorado |
| Authorized Official Name and Position | Ron Bergloff (MANAGER) |
| Authorized Official Contact | 3037787707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Park Dental Center 271 S Downing St Denver CO 80209-2432 Ph: (303) 778-7707 | Washington Park Dental Center 271 S Downing St Denver CO 80209-2432 Ph: (303) 778-7707 |
| NPI Number | 1437607942 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/11/2017 |
| Medicare PECOS PAC ID | 1759651508 |
|---|---|
| Medicare Enrollment ID | O20170726003890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437607942 | NPI | - | NPPES |
| 10625038 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Konstantinos Harogiannis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1932439585 PECOS PAC ID: 5991077752 Enrollment ID: I20170815001601 |
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