Firestone Dental Partners Prof LLC
Organization Active NPI Dentist · Firestone, CO
NPI 1356767230 · NPPES record last updated Mar 15, 2014
Key facts
- NPI
- 1356767230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 00010335 (CO)
- Legal business name
- FIRESTONE DENTAL PARTNERS PROF LLC
- Practice address
- 4415 City Centre Dr
Suite 400
Firestone, CO 80504-6603 - Phone
- (303) 651-6347
- Fax
- (303) 651-6247
- NPI assigned
- Mar 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Jarom Lavern John, DDS
- Title
- Partner
- Phone
- (303) 651-6347
Practitioners 2
-
Caleb Farnes Price, DDS
-
Wyatt Sessions, DDS
National Provider Directory
Locations
4415 City Centre Dr
Ste 400
Firestone, CO 80504
Phone (303) 651-6347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 00010335 | CO | Yes |
Addresses
Primary practice location
4415 City Centre Dr
Suite 400
Firestone, CO 80504-6603
Mailing address
4415 City Centre Dr
Suite 400
Firestone, CO 80504-6603
Phone (303) 651-6347
Other names
- Comfort Dental of Firestone
Other providers in Firestone, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.