| Mississippi Dental Group P.c. | |
|
11175 E Mississippi Ave Suite 110 Aurora CO 80012-3137 | |
| (303) 343-9313 | |
| (303) 343-9537 |
| Full Name | Mississippi Dental Group P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11175 E Mississippi Ave, Aurora, Colorado |
| Authorized Official Name and Position | Laurie Summers (CREDENTIALING) |
| Authorized Official Contact | 3032856098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Dental Group P.c. 11175 E Mississippi Ave Suite 110 Aurora CO 80012-3137 Ph: (303) 343-9313 | Mississippi Dental Group P.c. 11175 E Mississippi Ave Suite 110 Aurora CO 80012-3137 Ph: (303) 343-9313 |
| NPI Number | 1194846667 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194846667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6097 (Colorado) | Primary |
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