| Adventure Dental, Vision And Orthodontics | |
|
15121 E Mississippi Ave Aurora CO 80012-3746 | |
| (303) 802-1022 | |
| (303) 802-1023 |
| Full Name | Adventure Dental, Vision And Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 15121 E Mississippi 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 Orthodontics 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 955-8896 | Adventure Dental, Vision And Orthodontics 15121 E Mississippi Ave Aurora CO 80012-3746 Ph: (303) 802-1022 |
| NPI Number | 1275873549 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275873549 | NPI | - | NPPES |
| 32373074 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (Colorado) | Primary |
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