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Evergreen Dental Anesthesia Pllc
Dentist Anesthesiologist in Louisville, Colorado
NPI 1821684713

Evergreen Dental Anesthesia Pllc is a Dentist Anesthesiologist based in Louisville, CO and is specialized in Dentist Anesthesiologist. Evergreen Dental Anesthesia Pllc practices in Louisville, CO. The NPI Number for Evergreen Dental Anesthesia Pllc is 1821684713 and holds a License No. (Colorado).

The current practice location address for Evergreen Dental Anesthesia Pllc is 357 Mccaslin Blvd Ste 200, Louisville, CO and can be reached out via phone at 970-699-8954.

Location: 357 Mccaslin Blvd Ste 200, Louisville, CO, 80027-2932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821684713
Provider Name
Evergreen Dental Anesthesia Pllc
Credential
Provider Entity Type
Organization
Address
357 Mccaslin Blvd Ste 200, Louisville, CO, 80027-2932
Phone Number
970-699-8954
Fax Number
Provider Enumeration Date
12/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
357 Mccaslin Blvd Ste 200
City
Louisville
State
Colorado
Zip
80027-2932
Phone Number
970-699-8954
Fax Number
person
Provider Business Mailing Address Details
Address
357 Mccaslin Blvd Ste 200
City
Louisville
State
Colorado
Zip
80027-2932
Phone Number
970-699-8954
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
()
Definition
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.
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