Organization · Type 2 NPI
Green Gables Dental LLC
Dental Anesthesiology · Lakewood, CO
Practice location
7586 W Jewell Ave # 2-303
Lakewood, CO 80232-6890
Fax (720) 442-8246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 00202170 (CO) |
| Dental Anesthesiology | 1223D0004X | 02786101 (CO) |
| Dental Anesthesiology Primary | 1223D0004X | 00202170 (CO) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
About NPI 1508376906
Green Gables Dental LLC's National Provider Identifier is 1508376906, issued on Oct 11, 2017. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Lakewood, CO. The record was last updated on Nov 22, 2017.