| Peakview Dentistry Pllc | |
|
1200 28th St Ste 300 Boulder CO 80303-1756 | |
| (303) 417-1644 | |
| Not Available |
| Full Name | Peakview Dentistry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 28th St Ste 300, Boulder, Colorado |
| Authorized Official Name and Position | Bahar Esmaili (DENTIST/PARTNER) |
| Authorized Official Contact | 3032042250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peakview Dentistry Pllc 1200 28th St Ste 300 Boulder CO 80303-1756 Ph: (303) 417-1644 | Peakview Dentistry Pllc 1200 28th St Ste 300 Boulder CO 80303-1756 Ph: (303) 417-1644 |
| NPI Number | 1164036166 |
|---|---|
| Provider Enumeration Date | 09/07/2020 |
| Last Update Date | 09/16/2020 |
| Medicare PECOS PAC ID | 8123498250 |
|---|---|
| Medicare Enrollment ID | O20230105001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164036166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Adam Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1568073575 PECOS PAC ID: 8820468952 Enrollment ID: I20230105001314 |
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