NPI 1013100387

4th Avenue Family Dentistry, LLC

Organisation General Practice Dentistry Denver, CO

Practice location

Address: 390 University Blvd, Denver, CO 80206-4125
Phone: (303) 333-0771
Fax: (303) 333-0779

Authorised official

Name: Thomas Swain
Title: Dentist
Phone: (303) 333-0771

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1013100387
Entity type: Organization
NPI issued: 21 Aug 2007
Record last updated: 21 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.