| Summit Smiles Pllc | |
|
7300 E Arapahoe Rd Ste 500 Centennial CO 80112-6147 | |
| (720) 638-6361 | |
| (720) 583-1354 |
| Full Name | Summit Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7300 E Arapahoe Rd Ste 500, Centennial, Colorado |
| Authorized Official Name and Position | John Lydiatt (OWNER) |
| Authorized Official Contact | 7206386361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Smiles Pllc 7300 E Arapahoe Rd Ste 500 Centennial CO 80112-6147 Ph: (720) 638-6361 | Summit Smiles Pllc 7300 E Arapahoe Rd Ste 500 Centennial CO 80112-6147 Ph: (720) 638-6361 |
| NPI Number | 1013662774 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013662774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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