| Open And Affordable Dental At Hudson Pllc | |
|
101 E. Bison Hwy, Unit A Hudson CO 80642 | |
| (720) 580-1117 | |
| Not Available |
| Full Name | Open And Affordable Dental At Hudson Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 E. Bison Hwy, Unit A, Hudson, Colorado |
| Authorized Official Name and Position | Jason Stott (OWNER) |
| Authorized Official Contact | 7205801117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open And Affordable Dental At Hudson Pllc 101 E. Bison Hwy, Unit A Hudson CO 80642 Ph: (720) 580-1117 | Open And Affordable Dental At Hudson Pllc 101 E. Bison Hwy, Unit A Hudson CO 80642 Ph: (720) 580-1117 |
| NPI Number | 1013368760 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013368760 | NPI | - | NPPES |
| 96407069 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN.00202024 (Colorado) | Primary |