Creekside Endodontics, Llc | |
10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 | |
(303) 524-9343 | |
Not Available |
Full Name | Creekside Endodontics, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 10450 Park Meadows Dr, Lone Tree, Colorado |
Authorized Official Name and Position | Andrew Richard Stubbs ()WNER) |
Authorized Official Contact | 3035944621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Creekside Endodontics, Llc 10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 Ph: (303) 524-9343 | Creekside Endodontics, Llc 10450 Park Meadows Dr Suite 306 Lone Tree CO 80124-5529 Ph: (303) 524-9343 |
NPI Number | 1144608282 |
---|---|
Provider Enumeration Date | 05/08/2015 |
Last Update Date | 05/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144608282 | NPI | - | NPPES |
1710963343 | Other | ANDREW STUBBS NPI NUMBER | |
DEN10252 | Other | CO | COLORADO DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DEN10252 (Colorado) | Primary |
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