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NPI Code Detail

MEDICARE: ROBERT WELLMAN DDS

MEDICARE:   ROBERT  WELLMAN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry105647CO

General Provider Information

NPI Number : 1205913647
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT WELLMAN DDS
Provider Business Mailing Address
First Line : 485 N HIGH ST
Second Line :
City : DENVER
State : CO
Zip : 80218-4023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 485 N HIGH ST
Second Line :
City : DENVER
State : CO
Zip : 80218-4023
Country : US
Telephone Number : 303-331-9532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/13/2018

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Directions to “ ROBERT WELLMAN DDS” Practice Location

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