| Adventure Dental, Vision And Orthodonitcs | |
|
9333 E Colfax Ave Aurora CO 80010-1919 | |
| (720) 697-5332 | |
| (720) 257-5337 |
| Full Name | Adventure Dental, Vision And Orthodonitcs |
|---|---|
| Speciality | Dentist |
| Location | 9333 E Colfax Ave, Aurora, Colorado |
| Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193232362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Dental, Vision And Orthodonitcs 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 955-8896 | Adventure Dental, Vision And Orthodonitcs 9333 E Colfax Ave Aurora CO 80010-1919 Ph: (720) 697-5332 |
| NPI Number | 1124493291 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124493291 | NPI | - | NPPES |
| 57720096 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN00007992 (Colorado) | Primary |
| 122300000X | Dentist | (Colorado) | Secondary |
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