Jennifer Wallen, DMD | |
13123 E 16th Ave, Aurora, CO 80045-7106 | |
(720) 777-1234 | |
Not Available |
Full Name | Jennifer Wallen |
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Gender | Female |
Speciality | Dentist - Dentist Anesthesiologist |
Location | 13123 E 16th Ave, Aurora, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134234404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8889 (Colorado) | Secondary |
1223D0004X | Dentist - Dentist Anesthesiologist | 8889 (Colorado) | Primary |
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
Mailing Address | Practice Location Address |
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Jennifer Wallen, DMD Po Box 110429, Aurora, CO 80042-0429 Ph: () - | Jennifer Wallen, DMD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234 |
Dr. Alfred Patrick Smithwick Iii, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 22986 E Smoky Hill Rd, Aurora, CO 80016 Phone: 443-756-7119 | |
Dr. Syed Shafay Yaqeen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 North Nursula Street Buildng 5 Apt 444, Aurora, CO 80045 Phone: 682-313-5321 | |
Dr. Ricky Eugene Harrell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13065 E 17th Pl, Aurora, CO 80045 Phone: 303-724-0725 | |
Dr. William Randall Sanders Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 S Parker Rd, Suite 103, Aurora, CO 80014 Phone: 303-337-2794 Fax: 303-337-2848 | |
Dr. Lucas Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 797 Peoria St Ste A, Aurora, CO 80011 Phone: 303-577-0062 | |
Dr. Marwan Al-barrak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3507 S Cathay St, Aurora, CO 80013 Phone: 404-245-3604 | |
Dr. Mun J. Choi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1075 S Peoria St, Aurora, CO 80012 Phone: 303-577-0377 |