MEDICARE: ADRIENNE HEDRICK

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
1	1223G0001X	General Practice Dentistry	DEN9186	CO

General Provider Information

NPI Number	:	1720142946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE HEDRICK

Provider Business Mailing Address
First Line	:	650 INTERNATIONAL PKWY
Second Line	:	SUITE 100
City	:	RICHARDSON
State	:	TX
Zip	:	75081-6612
Country	:	US
Telephone Number	:	303-321-1181
Fax Number	:

Provider Business Practice Location Address
First Line	:	3865 CHERRY CREEK NORTH DR
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80209-3803
Country	:	US
Telephone Number	:	303-321-1181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/08/2007

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Directions to “ ADRIENNE HEDRICK ” Practice Location

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