| Clermont Dental | |
|
2101 S Clermont St Denver CO 80222-5006 | |
| (303) 691-3333 | |
| (720) 666-6036 |
| Full Name | Clermont Dental |
|---|---|
| Speciality | Dentist |
| Location | 2101 S Clermont St, Denver, Colorado |
| Authorized Official Name and Position | Atousa B Safavi (DENTIST/OWNER) |
| Authorized Official Contact | 9194284525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clermont Dental 2101 S Clermont St Denver CO 80222-5006 Ph: (303) 691-3333 | Clermont Dental 2101 S Clermont St Denver CO 80222-5006 Ph: (303) 691-3333 |
| NPI Number | 1710450192 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 7315317682 |
|---|---|
| Medicare Enrollment ID | O20221230002177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710450192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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