| Parkfield Orthodontics | |
|
3464 N Salida St Suite B Aurora CO 80011 | |
| (303) 307-4901 | |
| (303) 307-4796 |
| Full Name | Parkfield Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3464 N Salida St, Aurora, Colorado |
| Authorized Official Name and Position | Andre M Gillespie (OWNER) |
| Authorized Official Contact | 7204361303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkfield Orthodontics 3464 N Salida St Suite B Aurora CO 80011 Ph: (303) 307-4901 | Parkfield Orthodontics 3464 N Salida St Suite B Aurora CO 80011 Ph: (303) 307-4901 |
| NPI Number | 1194118570 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194118570 | NPI | - | NPPES |
| 900170896 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 00202397 (Colorado) | Primary |
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