NPI 1164891545

American Dental Excellence

Organisation Preferred Provider Organization Westminster, CO

Practice location

Address: 905 W 124th Ave STE 130, Westminster, CO 80234-1718
Phone: (303) 920-4900
Fax: (303) 920-4823
Mailing address: 905 W 124th Ave., Suite #130, Westminster, CO 80234

Authorised official

Name: Kenneth Jeffery Polke
Title: Dentist
Phone: (303) 920-4900

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 7878 (CO)

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Registry record

NPI: 1164891545
Entity type: Organization
NPI issued: 16 Sep 2015
Record last updated: 16 Sep 2015

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.