Dr Theodore Richard Shille, DDS | |
3525 W Oxford Ave Unit G-3, Denver, CO 80236-3115 | |
(303) 315-6150 | |
(720) 259-4559 |
Full Name | Dr Theodore Richard Shille |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 3525 W Oxford Ave Unit G-3, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962797829 | NPI | - | NPPES |
60886374 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN.00010513 (Colorado) | Primary |
Entity Name | Metro Community Provider Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558727883 PECOS PAC ID: 0648181214 Enrollment ID: O20051025000562 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Richard Shille, DDS 3525 W Oxford Ave Unit G-3, Denver, CO 80236-3115 Ph: (303) 315-6150 | Dr Theodore Richard Shille, DDS 3525 W Oxford Ave Unit G-3, Denver, CO 80236-3115 Ph: (303) 315-6150 |
Dr. Frank A Perlov, D.D.S.,M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 240 Saint Paul St, #201, Denver, CO 80206 Phone: 303-320-0307 Fax: 303-320-0791 | |
Dr. Allison Michele Cohen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 162 Adams St Ste 200, Denver, CO 80206 Phone: 303-333-4209 | |
Dr. Michael Woodbeck, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1707 Chestnut Pl Apt 621, Denver, CO 80202 Phone: 979-900-4987 | |
Gregory Bennett Grossman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-293-2220 | |
Frederick S Morrill, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Julie A Lesnick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Dr. Kevin Shawn Berry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Albion St #1008, 1008, Denver, CO 80222 Phone: 303-691-0267 Fax: 303-691-0268 |