| Green Gables Dental Llc | |
|
7586 W Jewell Ave # 2-303 Lakewood CO 80232-6890 | |
| (720) 442-8256 | |
| (720) 442-8246 |
| Full Name | Green Gables Dental Llc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 7586 W Jewell Ave # 2-303, Lakewood, Colorado |
| Authorized Official Name and Position | Michael Riggs (OWNER) |
| Authorized Official Contact | 7204428256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Gables Dental Llc 7586 W Jewell Ave # 2-303 Lakewood CO 80232-6890 Ph: (720) 442-8256 | Green Gables Dental Llc 7586 W Jewell Ave # 2-303 Lakewood CO 80232-6890 Ph: (720) 442-8256 |
| NPI Number | 1508376906 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 11/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508376906 | NPI | - | NPPES |
| 1174698666 | Medicaid | CO |
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