5280 Pediatric Dentistry | |
10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 | |
(303) 601-5280 | |
Not Available |
Full Name | 5280 Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 10463 Park Meadows Dr, Lone Tree, Colorado |
Authorized Official Name and Position | Derek Stephen Owens (OWNER) |
Authorized Official Contact | 3033496480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5280 Pediatric Dentistry 10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 Ph: (303) 601-5280 | 5280 Pediatric Dentistry 10463 Park Meadows Dr Suite 206 Lone Tree CO 80124-5316 Ph: (303) 601-5280 |
NPI Number | 1467828905 |
---|---|
Provider Enumeration Date | 08/19/2015 |
Last Update Date | 08/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467828905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 0020124 (Colorado) | Primary |
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