| Jason Ehtessabian Pllc | |
|
9980 Park Meadows Dr Ste 102 Lone Tree CO 80124-8404 | |
| (720) 868-0888 | |
| Not Available |
| Full Name | Jason Ehtessabian Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9980 Park Meadows Dr Ste 102, Lone Tree, Colorado |
| Authorized Official Name and Position | Jason Ehtessabian (OWNER) |
| Authorized Official Contact | 7208680888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Ehtessabian Pllc 9980 Park Meadows Dr Ste 102 Lone Tree CO 80124-8404 Ph: (720) 868-0888 | Jason Ehtessabian Pllc 9980 Park Meadows Dr Ste 102 Lone Tree CO 80124-8404 Ph: (720) 868-0888 |
| NPI Number | 1700530664 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 03/12/2025 |
| Medicare PECOS PAC ID | 6103204078 |
|---|---|
| Medicare Enrollment ID | O20220606000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700530664 | NPI | - | NPPES |
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