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NPI Code Detail

MEDICARE: GREEN VALLEY RANCH COSMETIC & FAMILY DENTAL

MEDICARE: GREEN VALLEY RANCH COSMETIC & FAMILY DENTAL
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 Dentistry10061CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11265421077OTHERWYINDIVIDUAL NPI

General Provider Information

NPI Number : 1275862393
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREEN VALLEY RANCH COSMETIC & FAMILY DENTAL
Provider Business Mailing Address
First Line : 4809 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-6834
Country : US
Telephone Number : 303-501-0763
Fax Number : 303-317-8191
Provider Business Practice Location Address
First Line : 4809 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-6834
Country : US
Telephone Number : 303-501-0763
Fax Number : 303-317-8191
Authorized Official
Title or Position : OWNER
Name : DR. JASON N WHITING
Credential : DMD
Telephone Number : 303-501-0763
Provider Enumeration Date : 12/20/2009
Last Update Date : 12/20/2009

Similar Medicare Providers

1053334946 — DR. JOSEPH J. SOLER JR. MD
Practice Location Address:
4809 ARGONNE ST , SUITE #100
DENVER, CO
80249-6834
Practice Phone: 303-344-8700
Practice Fax: 303-344-0200
1457402075 — GREEN VALLEY RANCH MEDICAL CLINIC & URGENT CARE
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1558412494 — DR. AUGUSTINE UJUNWA OBINNAH M.D.
Practice Location Address:
4809 ARGONNE ST , SUITE 100
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80249-6834
Practice Phone: 303-344-8700
Practice Fax: 303-344-0200
1871787366 — GREEN VALLEY RANCH URGENT CARE CENTER PROF. LLC
Practice Location Address:
4809 ARGONNE ST , SUITE 100
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80249-6834
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Practice Fax: 303-344-0200
1992966840 — DR. CHRIS R ROBERTS D.D.S
Practice Location Address:
4809 ARGONNE ST , SUITE 230
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80249-6834
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Practice Fax:
1518281229 — DR. NATHAN HELM DDS, MS
Practice Location Address:
4809 ARGONNE ST , SUITE #240
DENVER, CO
80249-6834
Practice Phone: 303-371-0371
Practice Fax: 303-371-0351

Directions to “GREEN VALLEY RANCH COSMETIC & FAMILY DENTAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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