| Advanced Dental Health | |
|
6979 S Holly Circle #185 Centennial CO 80112 | |
| (303) 771-0225 | |
| (303) 773-3726 |
| Full Name | Advanced Dental Health |
|---|---|
| Speciality | Dentist |
| Location | 6979 S Holly Circle #185, Centennial, Colorado |
| Authorized Official Name and Position | Patrick T Prendergast (DENTIST) |
| Authorized Official Contact | 3037710225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Health 6979 S Holly Circle #185 Centennial CO 80112 Ph: (303) 771-0225 | Advanced Dental Health 6979 S Holly Circle #185 Centennial CO 80112 Ph: (303) 771-0225 |
| NPI Number | 1366829830 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366829830 | NPI | - | NPPES |
| 1417036757 | Other | CO | INDIVUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 105175 (Colorado) | Primary |
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