| Mountain Dental Anesthesia Llc | |
|
8683 E Lincoln Ave Ste 130 Lone Tree CO 80124-9812 | |
| (317) 459-0738 | |
| Not Available |
| Full Name | Mountain Dental Anesthesia Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 8683 E Lincoln Ave Ste 130, Lone Tree, Colorado |
| Authorized Official Name and Position | John Russell Yancey (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 3174590738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Dental Anesthesia Llc 12548 N 4th St Parker CO 80134-9458 Ph: (317) 459-0738 | Mountain Dental Anesthesia Llc 8683 E Lincoln Ave Ste 130 Lone Tree CO 80124-9812 Ph: (317) 459-0738 |
| NPI Number | 1265101356 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265101356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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