| Smile 4 Life Dental | |
|
12253 E 104th Pl Unit 105 Commerce City CO 80022-2096 | |
| (303) 853-8000 | |
| (303) 288-2219 |
| Full Name | Smile 4 Life Dental |
|---|---|
| Speciality | Dentist |
| Location | 12253 E 104th Pl Unit 105, Commerce City, Colorado |
| Authorized Official Name and Position | Jennie Macumber (MEMBER/MANAGER) |
| Authorized Official Contact | 3038299243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile 4 Life Dental 12253 E 104th Pl Unit 105 Commerce City CO 80022-2096 Ph: (303) 853-8000 | Smile 4 Life Dental 12253 E 104th Pl Unit 105 Commerce City CO 80022-2096 Ph: (303) 853-8000 |
| NPI Number | 1528540853 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528540853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN00202825 (Colorado) | Primary |
| 124Q00000X | Dental Hygienist | DH.000903823 (Colorado) | Secondary |
News Archive
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› Verified 8 days ago
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