| Pediatric Dental Group Of Evergreen | |
|
30960 Stagecoach Blvd Ste W100 Evergreen CO 80439-7902 | |
| (303) 670-7070 | |
| (303) 670-7071 |
| Full Name | Pediatric Dental Group Of Evergreen |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 30960 Stagecoach Blvd Ste W100, Evergreen, Colorado |
| Authorized Official Name and Position | David M Strange (OWNER) |
| Authorized Official Contact | 3035887575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group Of Evergreen 15053 W 55th Dr Golden CO 80403-2923 Ph: (303) 421-5437 | Pediatric Dental Group Of Evergreen 30960 Stagecoach Blvd Ste W100 Evergreen CO 80439-7902 Ph: (303) 670-7070 |
| NPI Number | 1619774528 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619774528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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